forms and documents 21stcclc...number email: [email protected] all partners in the 21 st century...

67
Form 1 – Cover Page: 2017 Sub-grant Application – Attachment A Applicant Information Contact Person Name of Applicant: (name of fiscal agent) Indiana Math & Science Academy (North) Name: Onder Secen Title: Principal Address: 7435 N. Keystone Avenue Agency Name: Indiana Math & Science Academy North Indianapolis, IN 46240 Email: [email protected] Phone: (317)-259-7300 ext. 111 Fax: (317)-259-7363 If LEA (school corporation , charter school): County: Marion Corp # 9895 School # 5 4 4 4 School # _ School # _ Program Director of 21 st CCLC Name: Dr.Kimila Brown Email: [email protected] Phone: Fax: (317)-259-7300 ext. 111 (317)-259-7363 Did you use a professional grant writer to complete this application? NO If yes, please provide Name of Grant Writer: Funding Information: Funds Requested: Year 1 $300,000 Year 2 $300,000 Year 3 $300,000 Year 4 $300,000 Total $1,200,000 DO NOT WRITE BELOW – FOR IDOE USE ONLY: Funds Approved: Yr. 1 Yr. 2 Yr. 3 Yr. 4 TOTAL _ Authorized Representative Information: Type Name of Representative: Mr. Mustafa Arslan Title: Superintendent Tel # 317-259-7300 Fax # 317-259-7363 Email: [email protected] I HEREBY CERTIFY that, to the best of my knowledge, the information contained in this application is correct, the agency/agencies named in this application and in the partnership commitment form have authorized me as their representative to file this application. Signature of Authorized Representative (if school corporation, must be signed by the Superintendent, if charter school, by the charter school administrator) Date signed:12/15/2017 48

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Page 1: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 1 ndash Cover Page 2017 Sub-grant Application ndash Attachment A

Applicant Information Contact Person Name of Applicant (name of fiscal agent)

Indiana Math amp Science Academy (North)

Name Onder Secen

Title Principal

Address 7435 N Keystone Avenue Agency Name

Indiana Math amp Science Academy North

IndianapolisIN 46240 Email secenimsaindyorg

Phone (317)-259-7300 ext 111

Fax (317)-259-7363

If LEA (school corporation charter school)

County Marion

Corp 9895 School 5 4 4 4 School _ School _

Program Director of 21st CCLC Name DrKimila Brown

Email kbrownimsaindyorg

Phone Fax

(317)-259-7300 ext 111 (317)-259-7363

Did you use a professional grant writer to complete this application NO

If yes please provide Name of Grant Writer

Funding Information Funds Requested Year 1 $300000 Year 2 $300000 Year 3 $300000

Year 4 $300000 Total $1200000

DO NOT WRITE BELOW ndash FOR IDOE USE ONLY Funds Approved Yr 1 Yr 2 Yr 3 Yr 4

TOTAL _

Authorized Representative Information Type Name of Representative

Mr Mustafa Arslan

Title Superintendent

Tel 317-259-7300 Fax 317-259-7363

Email arslanconceptschoolsorg

I HEREBY CERTIFY that to the best of my knowledge the information contained in this application is correct the agencyagencies named in this application and in the partnership commitment form have authorized me as their representative to file this application

Signature of Authorized Representative (if school corporation must be signed by the Superintendent if charter school by the charter school administrator)

Date signed12152017

48

Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B

Applicant Name Indiana Math amp Science Academy (North) Contact

Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240 Email

secenimsaindyorg

Name of School to be Served by 21stCCLC (including

School and School Corporation)

Has this school been

served before under a

Free and

Reduced Lunch

Identified English Learner

Estimated of Students that will attend the

program at least 45 days or 60 days to be served

Per School Year Y1 Y2 Y3 Y4

School has grade of

DF (indicate ldquoDFrdquo if

yes)

Estimated number of Students

with Disabilities to be served

previous 21st

CCLC grant Students

Indiana Math amp Science Academy North 5444

NO 90 9

45 30 30 30 30

D 15

9 60 30 30 30 30 15

Indiana Math amp Science Academy West 5837 NO 98

34 45 30 30 30 30 B

12

34 60 30 30 30 30 12

YES

NO

45

60

YES

NO

45

60

YES

NO

45

60

YES

NO

45

60

Note If more space is needed please include this chart on a separate piece of paper

49

Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C

Applicant Name Indiana Math amp Science Academy North

Contact Name Onder Secen

Organization Indiana Math amp Science Academy North

Phone Fax

(317)-259-7300 (317)-259-7363

Address 7435 N Keystone Avenue IndianapolisIN 46240

Email secenimsaindyorg

Name of Community Learning CenterSite

(eg Franklin High School Boys amp Girls Club )

Location (Street Address)

City

Indiana Math amp Science Academy North

7435 North Keystone Avenue Indianapolis

Indiana Math amp Science Academy West

4575 West 38th Street Indianapolis

Note If more space is needed please include this chart on a separate piece of paper

50

Applicant Name Indiana Math amp Science North

Contact Name Onder Secen

Organization Indiana Math amp Science North

Phone Fax

(317)-259-7300 ext 111 (317)-259-7363

Address 7435 North Keystone Ave IndianapolisIN 46240 Email secenimsaindyorg

Form 4 ndash Population Served Checklist ndash Attachment D

Populations Served (check all that apply) Pre-School X Elementary School X Middle School X High School Adult

Services (check all that apply) X Reading or Literacy X Mathematics X Science X Arts and Music X Tutoring or Mentoring English Language

Learning Services Pre AP andor AP Course

Development X Service Learning X STEM (Science Technology Engineering amp Math)

Operating Hours (check all that apply) X After-school

Intercession Fall Break Spring Break

X Weekend

X Recreational X Telecommunication amp Technology education Library Services X Services for Adults X Youth Development X Drug amp Violence Prevention X Character Education X Global Literacy X College amp Career Readiness

X Summer

Before-School

51

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Organization IMSA-North

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ___ Est Value- in Kind Service

Partner Si atu Add description of services to be provided Print Name Harold Bell

Radionexttv Harold Bell co-founder of Community RULE (Reading Understanding Learning and Education) provides resources for future sustainability efforts an initiating a youth broadcast system as a voice for youth

Organization Community RULE

Address 4202 N Ems Blvd Community RULE will put together a radio broadcast Greenfield IN 46140 system with the kids and provide assistance with

obtaining additional resources through a local non-profit network

Phone Number 317-625-4996 Fax Number Email thecommunityrulesgmailcom

Partner Signature In Kind Contract Kind Service

Est Value- in

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

53

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 2: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B

Applicant Name Indiana Math amp Science Academy (North) Contact

Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240 Email

secenimsaindyorg

Name of School to be Served by 21stCCLC (including

School and School Corporation)

Has this school been

served before under a

Free and

Reduced Lunch

Identified English Learner

Estimated of Students that will attend the

program at least 45 days or 60 days to be served

Per School Year Y1 Y2 Y3 Y4

School has grade of

DF (indicate ldquoDFrdquo if

yes)

Estimated number of Students

with Disabilities to be served

previous 21st

CCLC grant Students

Indiana Math amp Science Academy North 5444

NO 90 9

45 30 30 30 30

D 15

9 60 30 30 30 30 15

Indiana Math amp Science Academy West 5837 NO 98

34 45 30 30 30 30 B

12

34 60 30 30 30 30 12

YES

NO

45

60

YES

NO

45

60

YES

NO

45

60

YES

NO

45

60

Note If more space is needed please include this chart on a separate piece of paper

49

Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C

Applicant Name Indiana Math amp Science Academy North

Contact Name Onder Secen

Organization Indiana Math amp Science Academy North

Phone Fax

(317)-259-7300 (317)-259-7363

Address 7435 N Keystone Avenue IndianapolisIN 46240

Email secenimsaindyorg

Name of Community Learning CenterSite

(eg Franklin High School Boys amp Girls Club )

Location (Street Address)

City

Indiana Math amp Science Academy North

7435 North Keystone Avenue Indianapolis

Indiana Math amp Science Academy West

4575 West 38th Street Indianapolis

Note If more space is needed please include this chart on a separate piece of paper

50

Applicant Name Indiana Math amp Science North

Contact Name Onder Secen

Organization Indiana Math amp Science North

Phone Fax

(317)-259-7300 ext 111 (317)-259-7363

Address 7435 North Keystone Ave IndianapolisIN 46240 Email secenimsaindyorg

Form 4 ndash Population Served Checklist ndash Attachment D

Populations Served (check all that apply) Pre-School X Elementary School X Middle School X High School Adult

Services (check all that apply) X Reading or Literacy X Mathematics X Science X Arts and Music X Tutoring or Mentoring English Language

Learning Services Pre AP andor AP Course

Development X Service Learning X STEM (Science Technology Engineering amp Math)

Operating Hours (check all that apply) X After-school

Intercession Fall Break Spring Break

X Weekend

X Recreational X Telecommunication amp Technology education Library Services X Services for Adults X Youth Development X Drug amp Violence Prevention X Character Education X Global Literacy X College amp Career Readiness

X Summer

Before-School

51

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Organization IMSA-North

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ___ Est Value- in Kind Service

Partner Si atu Add description of services to be provided Print Name Harold Bell

Radionexttv Harold Bell co-founder of Community RULE (Reading Understanding Learning and Education) provides resources for future sustainability efforts an initiating a youth broadcast system as a voice for youth

Organization Community RULE

Address 4202 N Ems Blvd Community RULE will put together a radio broadcast Greenfield IN 46140 system with the kids and provide assistance with

obtaining additional resources through a local non-profit network

Phone Number 317-625-4996 Fax Number Email thecommunityrulesgmailcom

Partner Signature In Kind Contract Kind Service

Est Value- in

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

53

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 3: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C

Applicant Name Indiana Math amp Science Academy North

Contact Name Onder Secen

Organization Indiana Math amp Science Academy North

Phone Fax

(317)-259-7300 (317)-259-7363

Address 7435 N Keystone Avenue IndianapolisIN 46240

Email secenimsaindyorg

Name of Community Learning CenterSite

(eg Franklin High School Boys amp Girls Club )

Location (Street Address)

City

Indiana Math amp Science Academy North

7435 North Keystone Avenue Indianapolis

Indiana Math amp Science Academy West

4575 West 38th Street Indianapolis

Note If more space is needed please include this chart on a separate piece of paper

50

Applicant Name Indiana Math amp Science North

Contact Name Onder Secen

Organization Indiana Math amp Science North

Phone Fax

(317)-259-7300 ext 111 (317)-259-7363

Address 7435 North Keystone Ave IndianapolisIN 46240 Email secenimsaindyorg

Form 4 ndash Population Served Checklist ndash Attachment D

Populations Served (check all that apply) Pre-School X Elementary School X Middle School X High School Adult

Services (check all that apply) X Reading or Literacy X Mathematics X Science X Arts and Music X Tutoring or Mentoring English Language

Learning Services Pre AP andor AP Course

Development X Service Learning X STEM (Science Technology Engineering amp Math)

Operating Hours (check all that apply) X After-school

Intercession Fall Break Spring Break

X Weekend

X Recreational X Telecommunication amp Technology education Library Services X Services for Adults X Youth Development X Drug amp Violence Prevention X Character Education X Global Literacy X College amp Career Readiness

X Summer

Before-School

51

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Organization IMSA-North

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ___ Est Value- in Kind Service

Partner Si atu Add description of services to be provided Print Name Harold Bell

Radionexttv Harold Bell co-founder of Community RULE (Reading Understanding Learning and Education) provides resources for future sustainability efforts an initiating a youth broadcast system as a voice for youth

Organization Community RULE

Address 4202 N Ems Blvd Community RULE will put together a radio broadcast Greenfield IN 46140 system with the kids and provide assistance with

obtaining additional resources through a local non-profit network

Phone Number 317-625-4996 Fax Number Email thecommunityrulesgmailcom

Partner Signature In Kind Contract Kind Service

Est Value- in

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

53

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 4: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Applicant Name Indiana Math amp Science North

Contact Name Onder Secen

Organization Indiana Math amp Science North

Phone Fax

(317)-259-7300 ext 111 (317)-259-7363

Address 7435 North Keystone Ave IndianapolisIN 46240 Email secenimsaindyorg

Form 4 ndash Population Served Checklist ndash Attachment D

Populations Served (check all that apply) Pre-School X Elementary School X Middle School X High School Adult

Services (check all that apply) X Reading or Literacy X Mathematics X Science X Arts and Music X Tutoring or Mentoring English Language

Learning Services Pre AP andor AP Course

Development X Service Learning X STEM (Science Technology Engineering amp Math)

Operating Hours (check all that apply) X After-school

Intercession Fall Break Spring Break

X Weekend

X Recreational X Telecommunication amp Technology education Library Services X Services for Adults X Youth Development X Drug amp Violence Prevention X Character Education X Global Literacy X College amp Career Readiness

X Summer

Before-School

51

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Organization IMSA-North

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ___ Est Value- in Kind Service

Partner Si atu Add description of services to be provided Print Name Harold Bell

Radionexttv Harold Bell co-founder of Community RULE (Reading Understanding Learning and Education) provides resources for future sustainability efforts an initiating a youth broadcast system as a voice for youth

Organization Community RULE

Address 4202 N Ems Blvd Community RULE will put together a radio broadcast Greenfield IN 46140 system with the kids and provide assistance with

obtaining additional resources through a local non-profit network

Phone Number 317-625-4996 Fax Number Email thecommunityrulesgmailcom

Partner Signature In Kind Contract Kind Service

Est Value- in

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

53

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 5: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Organization IMSA-North

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ___ Est Value- in Kind Service

Partner Si atu Add description of services to be provided Print Name Harold Bell

Radionexttv Harold Bell co-founder of Community RULE (Reading Understanding Learning and Education) provides resources for future sustainability efforts an initiating a youth broadcast system as a voice for youth

Organization Community RULE

Address 4202 N Ems Blvd Community RULE will put together a radio broadcast Greenfield IN 46140 system with the kids and provide assistance with

obtaining additional resources through a local non-profit network

Phone Number 317-625-4996 Fax Number Email thecommunityrulesgmailcom

Partner Signature In Kind Contract Kind Service

Est Value- in

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

53

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 6: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 5 ndash Memorandum of Understanding Form ndash Attachment E Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

Please indicate of the in-kind

All Partners in the 21st

Century Community Learning Center need to be listed here if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$3000 In Kind Contract _____ Est Value- in Kind Service

Print Name Desean Johnson Living Empowered Sports will provide character

education mentorship and physical health and wellness activities for the students

Organization Living Empowered Sports Living Empowered Sports recognizes its mission to serve student athletes at risk students and the broader community Living Empowered Sports teaches several values appreciation for the benefits of hard work motivation perseverance group loyalty appreciation for cultural diversity personal integrity and ethical conduct

Address 120 E Market Street Suite 450 Indianapolis IN 46204

Phone Number Fax Number Email dsean_johnson450yahoocom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

54

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 7: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

55

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$5000 In Kind Contract _____ Est Value- in Kind Service

Print NameChristyle Woods Inner Beauty will provide character education academic support life skills and community service opportunities

Organization Inner Beauty Inner Beauty teaches self- awareness and empowerment to todayrsquos young ladies and to enhance the focus of living as a virtuous young woman We will grant youths 8-18 with opportunities to encounter new experiences through a focused character building curriculum

Address 4548 N College Ave Indianapolis IN 46205

Phone Number (317) 672-7525 Fax Number Email innerbeautyprogramcom

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 8: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

56

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) 2 5 9 - 7 3 0 0 Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name April Hales Lost and Found BeforeAfter Care will provide additional support and resources to support the program

Organization Lost and Found BeforeAfter Care

Lost and Found BeforeAfter Care is the initial care provider at IMSA-NORTH that will be phased out

Address 7435 N Keystone Avenue Indianapolis IN 46240

Phone Number 317-205-7137 Fax Number Email halesimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 9: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 5 ndash Memorandum of Understanding Form ndash Attachment E

Partners signing below agree to abide by the Assurances (Form 9 on Page 57) Detailed information regarding partnerships should be included in MOU

57

Applicant Signature Print Name Kimila Brown

Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 7435 N Keystone Ave Indianapolis IN 46240

Phone (317) Number Fax Number Email kbrownimsaindyorg

All Partners in the 21st

Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind service and the estimated value of the in-kind service Brief description of the partnerrsquos commitment described in the Memorandum of Understanding

$1000 In Kind Contract ____ Est Value- in Kind Service

Print Name Murat Atlihan IMSA-West will provide mentoring and student assistance through their Concept Young Scholars Program

Organization IMSA-West Indiana Math and Science Academy West (IMSA West) is a K-8 tuition free college preparatory charter school which is funded by public sources

Address 4575 W 38th St Indianapolis IN 46254

Phone Number 317- 298-0025 Fax Number Email westimsaindyorg

Partner Signature In Kind Contract Est Value- in Kind Service

Print Name

Organization Address

Phone Number Fax Number Email (copy form if needed)

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 10: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 6 ndash Timeline of Activities for Year 1 of Grant - Attachment F

Applicant Name Indiana Math amp Science Academy (North)

Contact Name Onder Secen

Organization Indiana Math amp Science Academy (North)

Phone Fax

317-259-7300 317-259-7363

Address 7435 N Keystone IndianapolisIN 46240

Email secenimsaindyorg

Date Activity Description Program Start Date Summer 2018

Summer 2018 June 1 Staffing begins Job descriptions complete and

posted Interview process begins for staffing positions

Aug 1 Staffing completed Interview process complete and positions filled

Aug 1 21st CCLC Staff PD Week Pre-service school training for 21st

CCLC training by Program Director and Site Director

Aug 2018 IDOE Orientation Training Details TBA

Fall 2018 September 10 Initial Benchmark Testing Starts Benchmark testing begins with

NWEA for entire 3-8th grade population

September 17 Targeted students recruited and registered

Recruitment notification and registration efforts end for 120 high-risk and at-risk students for the program

September 24 Extended Day Programs begin TBD Fall IDOE Conference Program Admin attend IDOE 21st

TBD Fall USDOE Conference Program Admin attend USDOE 21st CCLC Conference

October 2018 Initial independent evaluator walkthrough

Initial observation and program evaluation by Limelight Analytics

December 10 NWEA MAP 2nd Benchmark test of the year Spring 2019

58

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 11: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

TBD Spring IDOE Conference Program Admin attend IDOE 21st

CCLC Conference

May 6 NWEA MAP 3nd Benchmark test of the year May 13 ILEARN Ends Independent evaluation cumulative

observations and surveys NWEA and ILEARN data aggregation and disaggregation

Program End Date May 24 Prepare for all required IDOE reporting

Process data and longitudinal feedback as needed by IDOE

Note A minimum of 130 days are required for a 21st CCLC program

59

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 12: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

21st Century Community Learning Centers

Cohort 9 Year 1 Budget Workbook (2018-2019)

This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details

Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet

Budget Form Year 1 Includes formulas to generate totals

Budget Form Year 1 Cost Per Item Column

What is the cost per item The item could be an hour of work a hotel room rate the mileage reimbursement rate admission or reimbursement fee or a flat fee

Budget Form Year 1 Quantity Column

How much of that item How much could consist of how many hours are to be worked how many hotel rooms are needed how many miles will be driven how many tickets or admissions will be purchased or how many times will you pay the flat fee

Budget Form Year 1 Quantity Description if Needed Column

How is the quantity measured Are the hours to be worked based on hoursweek multiplied by total weeks Is the hotel room quantity determined by the number of rooms per night

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 13: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Budget Form Year 1 Contractual Expenses

1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation 2 The Budget Summary form breaks down which Contractual expenses are included in the Indrect Cost Rate (ICR) and which are not 3 Please enter contractual expenses as normal the formula will automatically generate Expenses over $25000 will be highlighted by the spreadsheet

Details 1 This is for information that needs to be explained beyond what can be included in the Budget Form Year 1 spreadsheet 2 For example this spreadsheet can be used to explain fringe travel supply costs etc This is also where the applicant should explain how the expenses are reasonable 3 Make sure to indicate which line from the Budget Form Year 1 tab you are referencing and use the same description

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 14: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

21st Century Community Learning Centers Budget Summary

Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 -- Federal Award ID S287C150014 -- Fiscal Year of Award 2016

Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy

Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492

Budget Categories Project Year 1 Personnel $12202000

Fringe Benefits $1830300

Travel $000

Transportation $12824000

Equiptment $000

Supplies $1197700

Contractual $1880000

Professional Development amp Training $66000

Other $000

Total Direct Costs $30000000

Indirect Costs $000

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 15: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual (not included in ICR) $000

Total $30000000

Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement

If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Office ) If you are requesting reimbursement for indirect costs please answer the following questions (1) Do you have an Indirect Cost Rate Agreement approved by IDOE Office of School Finance __Yes __ No (2) If yes please provide the following information School Year Period Covered by the Indirect Cost Rate Agreement From 6 1 2018 To 5 31 2019 Approved rate ____

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 16: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

Personnel Benefits ($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 17: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 18: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 19: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 20: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate

($ -)

SUBTOTAL ($ -)

TOTAL YEAR 1 ($ 300000)

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 21: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 22: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 23: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 24: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 25: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 26: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 27: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 28: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 29: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 30: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 31: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX

Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the tabs provided for the budget categories

Object Category Activity Description Cost Per Item Quantity Quantity Description if needed Total

Personnel

EXAMPLE Site Coordinators

($ 1200) 5200 25 hoursweek 35 weeks per year 4 site coordinators total ($ 62400)

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

EXAMPLE FICA (full-time)

Sum of the totals line of all full time staff listed in

the above section 765 see details

Multiplied sum of cell D and cell E in this line

($ 12202000) 1500 ($ 1830300) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - ) ($ - )

($ - )

($ - ) ($ - )

SUBTOTAL ($ 18303)

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 32: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Travel

Example Fall 2017 - In state conference

hotel - Indianapolis ($ 10400) 6 3 rooms 2 nights ($ 624)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Travel

EXAMPLE Student Transportation

($ 2600) 468 4 busday x 117 days ($ 12168)

Daily Student Transportation

($ 24500) 520 4 busesday x 130 days ($ 127400) Field College Trip

($ 7000) 12 4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

EXAMPLE iPad

($ 40000) 4 For academic program listed in

program narrative ($ 1600)

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 33: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Equipment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ -)

Supplies

EXAMPLE Program Supplies (pencils

calculators hand sanitizer etc) $500 400 100 students 4 sites ($ 2000)

(pencils paper calculators hand sanitizer etc)

($ 500) 120 120 students

($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 11977)

EXAMPLE Local Evaluation Services

($ 20000000) 6 of award ($ 12000)

EXAMPLE Contracted arts programming

($ 900000) 3 per site ($ 27000)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 34: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ -) ($ -)

SUBTOTAL ($ 18800)

Professional Development amp Training

EXAMPLE Staff Trainings

($ 1200) 75 3 trainings for 25 staff members ($ 900)

Kids Count ($ 12500) 4 One training for 2 staff members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

EXAMPLE Staff Background Checks

($ 2500) 15 ($ 375)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 35: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Other ($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Total Direct ($ -)

SUBTOTAL ($ 300000)

Indirect Costs Indirect Costs ($ 300000)

approved indirect cost rate approved rate VALUE

($ -)

SUBTOTAL VALUE

TOTAL YEAR 1 VALUE

VALUE

VALUE

VALUE

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 36: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Line Category Activity Description Cost Per Item Quantity Quantity Description if

needed Total

Personnel

Program Coordinator ($ 3000) 150 5 hrsweek 30 weeks per year ($ 4500)

Site Coordinator ($ 2000) 1300

25 hoursweek 26 weeks per year 2 site coordinators total ($ 26000)

Teachers ($ 2500) 2912

14 hoursweek 26 weeks per year 8 teachers ($ 72800)

Teacher Assistants ($ 1500) 1248

12 hoursweek 26 weeks per year 4 teachers ($ 18720)

($ - ) ($ -)

SUBTOTAL ($ 122020)

Fringe Benefits

Personnel Benefits ($ 12202000) 1500 ($ 1830300)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18303)

Travel

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Transportation

Daily Student Transportation ($ 24500) 520 4 busesday x 130 days ($ 127400)

Field College Trip ($ 7000) 12

4 trips 3 hours each = 12 hours ($ 840)

($ - ) ($ -)

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 37: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Transportation ($ - )

($ -)

($ - ) ($ -)

SUBTOTAL ($ 128240)

Equiptment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Supplies

(pencils paper calculators hand sanitizer etc) ($ 500)

120 120 students ($ 600)

Art Supplies ($ 2000) 120 120 students

($ 2400)

VEX IQ Robotics ($ 298850) 2 2 teams

($ 5977)

Readers Theater ($ 300000) 1 6 packet series

($ 3000)

($ - ) ($ -)

SUBTOTAL ($ 11977)

Contractual

Local Evaluation Services ($ 30000000) 600 of award ($ 18000)

Data Collection ($ 80000) 1 one site ($ 800)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 18800)

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 38: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Contractual

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Professional Development amp

Training

Kids Count ($ 12500) 4 One training for 2 staff

members ($ 500)

IYI Institute Spring Training ($ 4000) 4 One training for 2 staff

members ($ 160)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ 660)

Other

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Indirect Costs

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 39: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 40: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

($ - ) ($ -)

SUBTOTAL ($ -)

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 41: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Form 9 ndash Assurances-Attachment I

21st Century Community Learning Centers Program 2018 - 2022 Sub-grant Application

ASSURANCES

The following assurances will remain in effect for the duration of the Subgrant The Indiana Department of Education will require assurances with subsequent amendments to this application if required by changes in federal or state law The applicant assures that

It has the necessary legal authority to apply for and receive the proposed subgrant The filing of this application has been authorized by the applicantrsquos governing body and the

undersigned official has been duly authorized to file this proposal for and on behalf of the said applicant and otherwise to act as the authorized representative of the applicant in regard to this application

The activitiesservices for which the assistance is sought under this subgrant will be administered by or under the supervision and control of the applicant

The subgrant program will be operated in compliance with all applicable state and federal laws and in compliance with regulations and other policies and administrative directives of the Indiana State Board of Education and the IDOE

The subgrant program will take place in a safe and easily accessible facility The subgrant program will have proper transportation for its participants The subgrant program will be carried out as proposed in the application The subgrant program was developed and will be carried out in collaboration with schools the

students attend and other community partners The subgrant program will utilize a researched based curriculum that includes

professional development The subgrant program will align out-of-school time efforts with in school priorities including

Indiana Academic Standards The subgrant program will primarily target students who attend schools eligible for Title I school

wide programs and their families or students who attend non-Title I schools that are high poverty schools

The funds under the subgrant program will be used to supplement the level of State local and other non- federal funds that would in the absence of Federal funds be made available for authorized programs and activities and will not supplant Federal State or local or non-Federal funds

The required information and reports will be submitted timely as requested by the Indiana Department of Education

The subgrant program will comply with US Education Department General Administrative Regulations (EDGAR) Part 76-State Administered programs and the Uniform Grant Guidance 2 CFR Part 200

57

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 42: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

The subgrant program agrees to keep records and provide information to the IDOE as may be required for fiscal audit and program evaluation for a minimum of five (5) years from the date of the last activity

The subgrant program agrees to complete the Indiana Quality Program Self-Assessment (IN-QPSA) or an equivalent nationally-recognized assessment annually and use the program action plan to guide program improvement and strengthening

The subgrant program will ensure that each staff member participating in this grant knows how to access student data including growth model data from the Learning Connection website

The community was given notice of the applicantrsquos intent to submit and After the submission the applicant will provide for public availability and review of the

application and any waiver request The applicant certifies by submitting this application that neither it nor its principals nor any of its

subcontractors are presently suspended proposed for debarment declared ineligible or voluntarily excluded by any federal agency or by any department agency or political subdivision of the State of Indiana The term principal for purposes of this application means an officer director owner partner key employee or other person with primary management or supervisory responsibilities or a person who has a critical influence on or substantive control over the operations of the applicant

The applicant certifies that it has verified the state and federal suspension and debarment status for all subcontractors receiving funds under the fund associated with this application and shall be solely responsible for any recoupment penalties or costs that might arise from use of a suspended or debarred subcontractor The applicant shall immediately notify the State if any subcontractor becomes debarred or suspended and shall at the Statersquos request take all steps required by the State to terminate its contractual relationship with the subcontractor for work to be performed and supported by funding from the application

All partners will review and comply with the above assurances The subgrant program certifies that it is currently registered in the System of Award Management

(SAM httpswwwsamgov) database bull The LEA has expended $750000 in federal funds between July 01 2016 and June 30

2017 Yes No bull If yes the LEA has received a single audit or program specific audit (2 CFR 200501)

Yes No

Note The applicant will sign below and submit both pages of the Assurances

LEA or Organization Name Indiana Math amp Science Academy North

DrKimila Brown 12152017

Type Name Date Program Director

Onder Secen 12152017

Authorized Signature Type name Date

58

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 43: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

I PROJECT ABSTRACT

As a dynamic collaborative initiative Indiana Math and Science Academies (North and West

sites) propose to launch a 21st Century Community Learning Center program to meet the needs

of its diverse students in grades K-12 This program is based on a comprehensive service

delivery model that meets the academic physical psycho-social and cultural needs of our

scholars We recognize the challenging needs of our students and many go home to unsupervised

homes or childcare facilities that often do not offer activities that engage our students in

meaningful activities This program would provide customized activities designed to ignite

academic social-emotional and recreational needs and interests of our students

We propose a program that provides target academic tutoring services in math and reading for

students identified with the highest academic needs using a highly effective research based

curriculum The schools will partner with several community entities to enrich our studentsrsquo

lives Living Empowered Sports will give our students physical opportunities for health and

wellness We will partner with Gallahue Mental Health Services and Hope Haven to extend day

services in mental health to improve the behavioral health and welfare of our students To meet

the needs of our young women we will partner with Inner Beauty to offer character education

and life skills Its counterpart BOY will serve young men in character education and life skills

Radionexttv has also agreed to partner with our school and has proposed to offer broadcasting

opportunities and community networking Concept Young Scholars Program will provide a

multi-faceted program aimed at reaching our students in grades 5-8 We have also invited Lost

and Found Before and After Care to join our mission to extend their services into our program

1

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 44: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Students will also have opportunities to engage in high interest clubs including robotics music

art gardening community service projects and media development Our goals include

increasing academic achievement improving student behavior increasing family involvement

increasing the number of STEM and project based learning opportunities and preparing students

for college and careers Our overall mission is to help develop productive aspiring young people

to become proactive citizens in our community

II COMPETITIVE PRIORITY POINTS

1 Indiana Math and Science Academy North data reports identify a freereduced lunch rate of

100 Additionally IMSA has been identified as a Focus School due to receiving a ldquoDrdquo letter

grade on the A-F Accountability Report IMSA West has 100 of its students receiving

freereduced lunch

A ORGANIZATION PRIORITY POINTS

1 IMSA has never received 21st CCLC funds

2 IMSA will serve high school students in the program at the North location

B PROGRAMMING PRIORITY POINTS

3 This program will include STEM CCR Literacy and Family Engagement

III NEED FOR PROJECT

A IMSA data documents that 100 of students at the North site are eligible for freereduced

lunch This site received a ldquoDrdquo on the 2017-2018 A-F Accountability Report Card 100 are

eligible for freereduced lunch at the West site In order to increase the number of scholars who

2

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 45: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

pass ISTEP IMSA must provide targeted services to students identified with low growth and

help them achieve high growth Based on research presented by IDOE a student is increasingly

more likely to achieve proficiency with each additional year they achieve high growth By the

end of the designated four year grant timeline we should see a rapidly growing number of

students achieving proficiency as they consistently demonstrate high growth year after year

B Currently we do have an after school program that serves 40 students The program is

fragmented and does not have a strong structure designed to meet the academic psycho-social

physical and cultural needs The need for a highly effective comprehensive service delivery

model based in a systematic research-based design is quite evident

SchoolGrade levels served Current Programs (services time days of students)

Expansionenhancement programs (New services Time Days of students)

Indiana Math and Science Academy North

After school program runs daily from 300 dismissal until 600 Forty students are currently being served in this program

New services would include an increase in student numbers to 120 students and include middle and high school students The program would be designed as a comprehensive service delivery model running Monday through Thursday 300-600

C Needs and services were identified through extensive conversations and observations among

administrators board of director members teachers and support staff parents of current students

and community members Through analysis of the School Improvement Plan a Root Cause

Analysis was performed using data from NWEA ISTEP and IREAD plus classroom

observations and analysis of the schoolrsquos intervention strategies curriculum maps professional

development and teacher collaboration One area identified as a need for improvement was the

need for high intensity interventions for the lowest performing students in the bottom quartile

The school then formed an investigative advisory board to brain storm ways to extend learning

beyond the traditional school day Together we analyzed additional data such as Indianapolis

3

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 46: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

area dropout rates juvenile crime statistics school discipline data and parent surveys to create a

powerful program design that would best meet the diverse needs of our students and families

IV PARTNERSHIPSCOLLABORATIONS

A IMSA will partner with several community entities in the Indianapolis area Gallahue and

Hope Haven are mental health services providing interventions during regular school hours The

mental health therapists provide a variety of services to those students identified as having a need

for additional psycho-social support and who qualify for Medicaid funding Due to the number

of students who have been referred we see a high level of need in the mental health area and feel

additional resources would be of great value to our students and families Since services are

based on Medicaid eligibility the cost would be absorbed through billing and not a direct cost of

the grant program

Inner Beauty and NEW BOY have been recognized throughout the Indianapolis as an award-

winning outstanding program serving young men and young women This powerful program

offers character building life skill development community service and empowering

mentorship The program has developed their own curriculum and materials so the cost to our

program would minimal personnel costs for the mentors directly working with our students The

service fee would be significantly lower than the billing fee usually submitted by the program

Living Empowered Sports offers physical training opportunities as well as character building and

mentorship Services would include physical fitness wellness character education and

community service opportunities Trainers would be the only cost to the program Opportunities

would extend to parents also with workshop and classes involving parent and parentstudent

opportunities

4

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 47: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Radionexttv would also be a partnership with our program Harold Bell President of

radionexttv co-founder of Community RULE (Reading Understanding Learning and

Education) Literacy and member of Collaborative 317 has graciously accepted our partnership

as a resource for aligning additional not-for-profits for future sustainability efforts and initiating

a youth broadcast system as a voice for our youth Cost for these services would be minimal as

he is a pillar of community activism supporting youth

Concept Young Scholars Program will partner with our youth in grades 5-12 The program has

been initiated at a foundational level and we hope to increase the numbers of students served

The Concept Young Program is an award winning program designed to encourage academic

competition college trips and excursions Goal setting in the areas of Personal Development

Voluntary Public Service Physical Fitness and ExpeditionExploration through mentorship

engages students in a systematic process that guides recognizes and rewards student progress

Lost and Found Before and After Care is our current before and after care provider They are

serving approximately 25 students We value their service and want to extend the opportunity for

them to become a part of the 21st Community Learning Centerrsquos mission

The schools themselves are considered partners and are working to implement a symbiotic

relationship that recognizes each sitersquos unique strengths and needs for growth Combining forces

will allow for a dynamic synergy to best meet the needs of all of our scholars and their families

Strengthening our students and families strengthens our community

Implementing best practices at each site strengthens not only each school but also the

organization as a whole Response to Intervention that aligns with the Community Learning

Centerrsquos academic standards would be one such mutually beneficial collaboration Response to

5

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 48: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Intervention would be a protocol for identifying those students at risk for academic failure

Response to Intervention is a research-based intervention that would allow the creation of an

assessment tool identifying Tier 2 and Tier 3 students These students would be the target

population for the after school program and allow for an extension of interventions from the

traditional day to the extended day and further allow for continuous assessment

The partners we have selected are already stakeholders within our community They support

our mission and are connected to the school through a variety of networks These stakeholders

contributed to the planning and design of the program and were involved in the decisions that

were determined concerning the needs of our students and our families The collaborative effort

helped design a dynamic program based in best practices and research-based initiatives

6

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 49: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

V PROGRAM DESIGN AND IMPLEMENTATION

A Goals Objectives Performance Measures Activities and Assessment

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 2) Improve student behavior

21) Decrease the number of disciplinary infractions

22) Decrease the number of out-of-school student suspensions

23) Decrease the number of expulsions

21) Counseling opportunities ndash Gallahue and Hope Haven Mentorship and Character Education ndash Inner Beauty and NEW BOY Group workshops Responsive Classroom and DDMS model Parent workshops wellness workshops

22) In-school suspension Mentor program

23) Alternative to Expulsion afterschool probationary model

24) Cultural experiences Structured Recreational opportunities ndash Living Empowered Sports

21) The number of disciplinary infractions will decrease by 10 from the same time in the previous year

22) The number of out-of-school student suspensions will decrease by 10 from the same time in the previous year

23) The number of student expulsions will decrease by 10 from the same time in the previous year

24) 60 of afterschool parent surveys will report a noticeable improvement of their regular CLC attendee

21) Educatorrsquos Handbook will be used as a data collection tool track disciplinary infractions student suspensions and expulsions

22) Afterschool parent surveys will be administered once a quarter

23) Disciplinary reports

24) Attendance and specific experience documentation

7

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 50: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 3) Increase family 31) Increase the number of 31) Parent workshops on 31) 60 of parents of regular 31) attendance record and involvement adult learning opportunities

for parents

32) Increase the number of parents attending student performance and competition events

33) Increase the number of opportunities for whole family engagement

topics including childrenrsquos mental health and wellness positive discipline techniques effective literacy best practices new ways of teaching math using technology to leverage your childrsquos learning resume writing creative writing

32) Widely distribute sports event schedule cultural event schedule (dance poetry slam chorus) academic competition event schedule (LEGO Robotics Spelling Bee Pentathlon chess)

33) ldquoFamily Fun Night Seriesrdquo - open gym family volleyball open gym family basketball family line dance family wellness night family make-it-take-it night

attendees will attend at least 3 out of 7 parent workshops

32) Attendance at student performance and competition events will increase by 10 each quarter from fall to winter to spring

33) Attendance at Family Fun Nights will increase by 10 each quarter from fall to winter to spring

sign-in sheets at adult learning workshops

32) Attendance tracker for student performances and competition events

33) Attendance records at Family Fun Night series

8

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 51: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies 4) Increase the number of STEM problem-solving and project-based opportunities for students

41) Ignite early elementary studentsrsquo passion for science

42) Improve upper elementary and middle school studentsrsquo scientific knowledge methods and thought process

43) Create opportunities that empower high school studentsrsquo to consider STEM subjects as attainable and interesting degree and career choices

41) Implement Jr FIRST Lego League for grades 1st ndash 3rd

42) Continue competition robotics league grades 4th ndash 8th

43) Enhance existing Robotics team

44) Concept Youth Scholars Program

41) 60 of regular attendees participating in the STEM Jr FIRST Lego League program will improve their presentation skills on science topics from fall to spring of the program and report an increased passion for science

42) 60 of regular attendees participating in the FIRST Lego League program will improve their science knowledge by 20 from fall to spring

43) 60 of regular attendees participating in the Robotics Competitive program will consider science careers as an interesting option based on a career interest survey

41) Presentation rubric and science interest inventory survey prepost program

42) Science Knowledge Survey prepost program

43) Career Interest Inventory prepost program

9

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 52: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

Program Goals Program Objectives Program Activities Performance Measures Assessment Strategies

5) Students will be better prepared for college and career

51) Students will visit college campuses and investigate college requirements and process

52) Students will create and implement an educational career and personal plan

53) Increase the number of students involved in civic engagement

51) Concept Young Scholars Program ndash visit 3-5 colleges allowing scholars to experience college life journal writing virtual investigation and application process

52) Mentor program matching business leaders with students career tech program job shadowing career speakers eportfolios career inventories Entrepreneur Night

53) Students will participate in service learning projects and community events

51) At least 60 of high school students enrolled in the CCLC will participate in the summer college bound tour

52) At least 60 of regular attendees enrolled in the college prep track will have completed their educational career and personal plan and created a portfolio documenting their completed activities

53) 60 of regular attendees enrolled in the college and career readiness program will research design and implement a service learning project

54) 50 of regular program participants pursuing a college-prep track will earn a minimum composite score of 18 or higher on ACT during the school year

51) Participation rates for College tour

52) Individualized portfolio presentations

53) Service learning participation tracker

54) ACT scores

10

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 53: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

B Evidence of Previous Success ndash Lost and Found Before and After Care Program is our current

provider for before and after care We value their service to our program and have asked them to

continue as a partner within the CCLC program

C Design Requirements

1a Targeted Students and Their Families ndashIMSA North data reflects 100 and IMSA West data

reflects 100 of the student population qualifying for freereduced lunch status Both sites are

eligible to be served by the 21st CCLC program Both sites are Title 1 schools

b Recruiting Target Students ndash IMSA has a rigorous plan for recruitment enrollment and

retention as well as specific strategies for identifying and meeting individual student needs Data

will be analyzed from an array of sources including 1) those at risk of retention 2) not passing

ISTEP 3) inadequate growth on NWEA 3) Low Growth model on ISTEP and 4) RTI

assessment Tier level evaluation Students will be given priority based on need and parents will

be invited to register students for the CCLC program If recruitment does not yield 100 from

the priority list exceptions can be made to extend the invitation to those not meeting the given

criteria It is expected that at least 95 will be given priority Families will be given an

enrollment packet outlining the program and will be asked to sign a family compact agreeing to

participate Students given priority will include those 1) not passing ISTEP or IREAD 2) at risk

for retention 3) demonstrating low growth on ISTEP 4) being identified as Tier 3 in RTI

assessment or 5) at risk of high school academic failure A triangulation of RTI universal

screening data ISTEP data and NWEA scores will allow a composite profile to identify

11

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 54: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY academic needs Other contributing considerations will include teacher referral classroom

observations and psycho-social needs Students will be placed in appropriate reading and math

tutoring classes based on individual need Continual progress monitoring using trackers will

align with both the regular school day and after school program

c Relevant Community Data - IMSA recognizes the need to implement a more comprehensive

service delivery model to address the needs of our students Despite our relentless efforts to

design and coordinate resource efforts with a highly qualified staff the complexity of the

community needs cannot be met with a traditional school day program We are committed to

delivering an extended day program in order to host an array of opportunities for our youth to

engage in learning enrichment activities designed to meet the complexity of our diverse needs

As a microcosm of our community we are cognizant of the issues surrounding our youth and

their families According to current research at-risk indicators include 1) low socio-economic

status 2) being educated with others with low-socio-economic status 3) not reading on grade

level by third grade and 4) grade retention Based on a study by the Schott Foundation

Indianapolis ranks 6363 for young black males dropping out of school 6263 for young white

males ndash only above Detroit The young black homicide rates ranks third in the nation Research

indicates that most juvenile crime occurs between the hours of 300 ndash 600pm ndash hours when

supervision is minimal Keeping students actively engaged between these hours could deter

negative social behaviors

IMSA has identified the at-risk indicators and the results are alarming Through strong leadership

and positive role models the program would create an environment that would keep students

12

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 55: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY active and engaged enhance learning opportunities build character and responsibility offer

proactive alternatives to street activities and expose them to a network of community support

2 Dissemination of Information ndash Dissemination of information will be designed through an

array of networks Radionext has expressed interest in developing a student led radio broadcast

program in the after school program Students will have a voice platform to not only deliver

current happenings within the program but touch on topics specific to their world We also

propose to post weekly events and information on our website as well as data driven reports

available to teachers parents stakeholders and community members Encouraging partners to

expand the marketing of our program will reach more of the community and strengthen our

relationship with key networks

3 Communication with Schools

a Reaching out to nonpublic students and their families through the aforementioned

dissemination efforts would ensure access to the program if interest is shown Those students

living within our community who would like to become a part of our program would be greatly

encouraged to do so

b Continual progress monitoring will be an integral part of the program Parents will be asked to

sign a family compact and the permission will be included within the packet Data will be

gathered continuously throughout the program with secured access

c Sharing information of with regular day teachers will be done through professional

development days as the Project Director teaches during the day with the staff Families of

participants will be kept informed of individual student progress through weekly trackers A

13

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 56: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY celebration of achievement will be tracked through data wall trackers as a subgroup ndash no

individual information shared - community stakeholders will have access not only to the

displayed data but also through media communication via our website and proposed radio

broadcast We intend to celebrate excellence as a collaborative community effort

d Alignment of in school and out-of-school time will be through progress monitoring data

trackers The Response to Intervention model will allow not only an avenue to identifying

students but also a means to gather data Regular day staff and out-of-school staff will analyze

data during weekly staff meetings and coordinate intervention strategies based on the data

Further research in additional assessment models will be explored and refined as the program

develops

4 Parental Involvement Family Literacy and Related Family Educational Attainment

IMSA plans to have an after school staff member serve as a family liaisoncoordinator to ensure

integrity to the parent involvement component of the program We propose having monthly

parentadult workshops designed around the needs specific to our population both as adult needs

and parent needs We strongly believe in strengthening the family strengthens the child We will

construct an interest survey based on specific community demographics to help determine what

topics parents are most interested Some adult workshops may include community resources

technology career inventories self-care resume writing wellness financial literacy etc We

also recognize the need for parenting skills and helping them help their children with education

Several workshops will include parenting classes on certain topics while other workshops with

hands-on activities will include working with their children Topics such as positive discipline

14

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 57: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY techniques child development literacy skills homework techniques and teaching strategies

would help parents help their children

We also will host a number of family nights based on a thematic topic ndash such as Fall Festival

Spring Fling Math Night Dance Night Movie Night or Literacy Saturday etc We propose to

offer more opportunities for students to exhibit their work so families can attend the events

Night of the Arts I Invent Science Fair Talent Nights Theater etc will allow students to be

actively engaged and families to be a part of the presentation These initiatives will serve as

compelling motivators for parents to strengthen their involvement and deepen their relationship

with their children

5 USDA Approved snacks for 21st CCLC Children ndash IMSA intends to provide daily nutritious

USDA approved snack to afterschool attendees through the Child and Adult Care Food Program

under the IDOErsquos At-Risk Afterschool Meals program We will contract food services through

an approved vendor The healthy snacks will be delivered once a week to the school cafeteria by

the vendor and prepared each afternoon Snacks will be distributed each day within the first

twenty minutes of the program Ceries is the current vendor and snack will be delivered

according to school delivery calendar Snacks will be given the first 10 minutes of the

afterschool program

6 Weekly Schedule

Afterschool Monday Tuesdays

Thursdays

Wednesdays

300 ndash 330 ndash Homework Help and

Healthy Snack for all K-12 participants

330 ndash 430 ndash Students will rotate as 2

groups per grade level in both reading

and math ndash direct instruction 30

300 ndash 330 ndash Homework Help

and Healthy Snack for K-12

330 ndash 430 ndash A variety of

afterschool elective clubs take

place Each student will be

enrolled into 1 ndash 3 electives

15

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 58: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY minutes Activityproject based 30

minutes

K-1 Grades

30 minutes ndash Direct instruction rotating

days reading and math

30 minutes ndash Readers Theater Activity

Project based

2-8 Grades

30 minutes ndash Direct Instruction rotation

reading and math

30 minutes ndash Activity Project based

Interest

430-530 ndash Activity based on interest

andor choice

High School

45 min ndash Credit Recovery or

Enrichment Class

45 min ndash Tutoringhomework

30 min ndash Extracurricular activity (may

extend beyond the afterschool

program)

depending on the length of time

required for their clubs which

range from one to three and a

half hours Students at highest

risk will receive an additional

dose of math and reading

tutoring

430 ndash 530 ndash Academic tutoring

rotation same as on Mon Tue

Thu (see first column)

Summer School Monday - Thursday Summer School ndash Fun Fridays

830 ndash 900 ndash Breakfast and Community Time

900 ndash 1200 ndash Literacy and Math

1200 ndash 100 ndash Lunch and Recess

100 ndash 300 ndash Enrichment Activities such as art

music and gym

300 ndash Program Ends

830 ndash 300 ndash Field Trips Inspirational Guest

Speakers and Other Enrichment Activities

Including Family Days and Service Days

Hours and Weeks of 21st CCLC Program Operation for Students and Families

School Year ndash Hours per day

Week day

Before school

Week day

After school

Weekend Days Evening

Hours with Students 0 Average of 3

hoursday

3

Hours with Family Members 0 0 0 2

Number of days per week 0 5 0

Number of weeks 0 26 0 26

Total Program Hours 0 390 0 52

Summer ndash Hours per day

Weekday Weekend Days Evening

Hours with Students 65 0 0

Hours with Family Members 1 0 0

Number of days per week 4 0 0

16

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 59: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY Number of weeks 4 0 0

Total Program Hours 200 0 0

7 We will refer to ourselves as a 21st Century Community Learning Center and use the logo on

all our program materials All flyers media announcements community networks or community

displays will reflect the 21st logo 21st Century Community Learning Center located at IMSA will

become the new terminology rather than IMSA afterschool program

VI Professional Development Narrative

Professional Development Activities ndash Year 1 PD Activity PD Provider Relevant Program Objective Expected Staff Outcomes

One hour of weekly

PD on a range of

topics aligned to

curriculum and

assessment

differentiation goals

for instructional staff

only

Program

Director and

Site

Coordinator

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

-Decrease the number of

disciplinary infractions

-Students will create and implement

an educational career and

personal plan

-High school students have the

opportunity to make up missing

credits

Staff will implement best

practices in literacy math

classroom management

and academic

differentiation to meet the

needs of all learners High

school staff will be able to

successfully guide and

motivate students in

college and career

readiness and credit

recovery activities

Program -Increase mathematics Staff will receive feedback

director and achievement among regular on program-wide

Site participants implementation assess

Coordinator -Increase reading comprehension

achievement among regular

participants

progress towards goals

and analyze data to adjust

and inform instruction

Two PD days Program

Director and

Site

Manager

-Increase mathematics

achievement among regular

participants

-Increase reading comprehension

achievement among regular

participants

Staff will collaborate with

regular day teachers to

discuss student progress

and adjust activities to

align with each studentrsquos

learning plan

Readers Theater Benchmark Increase reading comprehension Instructional staff will

Training Education achievement among regular

participants

implement readerrsquos theater

curriculum to improve

studentsrsquo comprehension

vocabulary fluency and

motivation

May 2018 Orientation IDOE -Improve academic achievement in The program director will

17

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 60: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY Training for program reading and math acquire appropriate skills

director and admin -Increase parental involvement and and knowledge to

staff and Fall and adult learning opportunities implement 21st CCLC in

Spring Training in -Improve student behavior accordance to IDOE

Indianapolis for -Prepare students for college and specifications

program director and career

admin staff -Increase student access to hands-

on STEM activities

Because Kids Count

Winter Conference for

afterschool staff

Leadership Institute

for program director

and Spring Training

for all staff

Indiana

Youth

Institute

-Increase reading and math

achievement among regular

attendees

-Decrease disciplinary referrals of

regular attendees

-Increase adult learning

opportunities for parents of regular

attendees

-Increase student access to STEM

activities

After school staff will

attend elective workshops

aligned to their personal

areas of growth to improve

their studentsrsquo academic

achievement behavioral

outcomes and service to

parents

Professional development will be an opportunity to initiate best practice higher learning

research-based interventions to our staff Creating new avenues for professional development

allows for exposure to best practice aligned with the population served

Instructional staff will receive two hours of weekly PD designed on intervention strategies

differentiation standard alignment RTI process and data gathering and analysis Monthly

meetings will allow for opportunities to share and analyze data assess progress towards program

goals trouble shoot common issues and identify issues and concerns Traditional day educators

will be invited to attend and grade level team meetings will allow for information to be shared

and individual goals and plans for students can be discussed The staff will attend the Indiana

Youth Institute Because Kids Count Conference and Spring Training Conference to acquire best

practices in implementing a high quality afterschool program

18

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 61: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY

VII EVALUTION

In order to evaluate the impact of the program a combination of qualitative and quantitative data

measures will be examined In keeping with the goals outlined is Section V quantitative data

regarding student academic achievement will be gathered using Northwest Evaluation

Association (NWEA) Measures of Academic Progress (MAP) ISTEP data ACT scores report

card grades credit recovery rates and student transcripts reflecting credits earned Additionally

to track behavioral impact discipline and referral reports will be used as documented through

our ldquoRecovery Roomrdquo This data will be analyzed to determine whether those objectives and

goals outlined in Section V are being met

In order to fully assess the impact of the program on student performance longitudinal data will

be collected for each individual student participant Using the IDOE data system ISTEP scores

ECA scores credits earned per semester discipline referrals suspensions and expulsions will be

tracked for two years prior to each studentsrsquo enrollment into the CCLC and continuing through

their time span in the program In this way we will be able to use each student as their own

ldquocontrolrdquo measure A cross comparison of students will be performed using data from a control

group matched for age gender freereduced lunch status and initial ISTEP scores with those in

the CCLC In keeping alignment with the program objectives to increase reading comprehension

vocabulary and math achievement ISTEP scores for content areas will be studied separately and

in the aggregate

19

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 62: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY Using the NWEA Map test students will be tested at least twice a year and a growth analysis

will be performed Scores will be compared to national normed averages along with virtual

control group that will be provided by NWEA again matched for age income status and

beginning MAP scores The longitudinal data from ISTEP and NWEA will be analyzed using

hierarchical linear modeling to detect change across time and using general linear models such

as multiple regression and analysis of covariance to determine the impact of participant

variables and school-wide variables on achievement

Additional quantitative data will be provided by parent teacher and student surveys parent sign-

in attendance sheets and student attendance averages Student surveys will be administered

quarterly at CCLC while parent surveys will be administered using combination of paper

surveys available at CCLC and web based surveys to ensure a high response rate Survey

content will address the quality of the quality of the program impact on student engagement with

school and with a special focus interest in the STEM fields Teacher surveys will be

administered on professional development days with time allowance to complete them

Finally qualitative data will be gathered from focus groups with parents students teachers and

stakeholders Focus groups will be performed at least twice a year and will offer students

teachers parents and stakeholders the opportunity to provide context on background for the

quantitative data being gathered Data from the teacher focus groups will be particularly valuable

in addressing the STEM performance goals and student behavior goals described in Section V

Evaluation data will be collected on an on-going basis in preparation for the local external

evaluator Throughout the year this data will be monitored through the Project Director and

formally discussed quarterly with school administrators Using the data collected from

20

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 63: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY assessments and surveys the afterschool team will complete the Indiana Quality Program Self-

Assessment (IN-QPSA) twice a year and use the results to prioritize Indiana Afterschool

Standards in order to make improvements within the afterschool program

As our local evaluator we have reached out to Mindy Hightower King PhD Dr Hightower is

founder and president of Limelight Analytics and has worked as an evaluator for 17 years She

has directed more than 50 statewide and local evaluation projects for government agencies

schools and foundations She is a member of both the American Evaluation Association and the

Indiana Evaluation Association

IMSA 21st CCLC Performance Measures Year 1 Year 2 Year 3 Year 4

60 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 5 from fall

proficiency rates in ELA

and Math

Regular participants will

grow at least 75 years

on NWEA from fall to

spring

60 of regular

participants will improve

their math and reading

report card (RC) grades

by one or more letter

grades from fall to spring

quarter

70 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 10 from

fall proficiency rates in

ELA and Math

Regular participants will

achieve at least 1 year

of growth on NWEA

from fall to spring

70 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

80 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 15 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 125 years

on NWEA from fall to

spring

80 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

90 of regular

participants will achieve

High Growth on the ELA

and Math ISTEP

Spring proficiency rates

(defined as those at

50tile) on NWEA will

increase by 20 from

fall proficiency rates in

ELA and Math

Regular participants will

grow at least 15 years

of growth on NWEA

from fall to spring

85 of regular

participants will improve

their math and reading

RC grades by one or

more letter grades from

fall to spring quarter

60 of regular program 70 of regular program 80 of regular program 85 of regular program

participants who failed at participants who failed participants who failed participants who failed

least one class in the at least one class in the at least one class in the at least one class in the

past year will recover a past year will recover a past year will recover a past year will recover a

minimum of 40 of minimum of 40 of minimum of 40 of minimum of 40 of

credits missed in the credits missed in the credits missed in the credits missed in the

past year by (1) taking past year by (1) taking past year by (1) taking past year by (1) taking

additional credits beyond additional credits additional credits additional credits

21

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 64: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY the current schedule as

outlined in the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2018-2019 school year

60 of regular program

participants will earn a

minimum of 10 credits

75 of regular program

participants in their fourth

year of high school will

graduate from high

school within six months

of their ldquograde-level

cohortrdquo

50 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18 on

the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during

2019-2020 school year

70 of regular program

participants will earn a

minimum of 10 credits

80 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

60 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2020-2021 school year

80 of regular program

participants will earn a

minimum of 10 credits

85 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

70 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

beyond the current

schedule as outlined in

the studentrsquos

ldquograduation planrdquo or (2)

enrolling in credit

recovery during the

2021-2022 school year

85 of regular program

participants will earn a

minimum of 10 credits

90 of regular program

participants in their

fourth year of high

school will graduate

from high school within

six months of their

ldquograde-level cohortrdquo

75 of regular program

participants pursuing a

college-prep track will

earn a minimum

composite score of 18

on the ACT

95 of students who

participate in the

program regularly for at

least two years will

graduate from high

school within six months

of their ldquograde level

cohortrdquo

70 of the total students

enrolled in the CCLC will

attend at least 60 days or

more during the school

year

75 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

80 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

85 of the total

students enrolled in the

CCLC will attend at

least 60 days or more

during the school year

VIII SUPPORT FOR STRATEGIC PRIORITIES

The program design for the 21st Century Community Learning Center is closely aligned in goals

purposes and activities to the School Improvement Plan The School Improvement Plan became

a launching point for discussion the academic needs of the schools starting with Root Cause

Analysis Priority for improvement in ELA and Math The subgroups most identified for

22

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 65: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY improvement are the bottom 25 and Low Growth subgroups according to ELA and Math

ISTEP data These groups will be highly encouraged to enroll in the afterschool program and the

RTI process will facilitate the design and coordination of the interventions The curricula chosen

for the program are research based and aligned to the Indiana State Academic Standards

IX SUSTAINABILTY PLAN

IMSA is committed to providing a dynamic program for our community Building an exceptional

reputation as a center for excellence invites the community in as a strong support system We

believe the best way to demonstrate need and value of a program is through concrete data

supporting a story of success At the end of the first year we plan to create and disseminate a

report that quantifies the gains made by regular attendees We also plan to feature the voices of

students parents staff and community members who wish to give testimony to the efficacy of

the program This report will be widely distributed among parents and stakeholders We will

attend community events speak at local and city alderman ward meetings and invite city

officials and community members to visit and support our program

Collaborative 317 is a hub for not-for-profit entities and our partner Radionext is part of this

collaboration The wealth of resources at our fingertips is amazing We plan on networking with

as many outside resources as possible and invite them into our program Additional grants and

funding resources will be limitless and we will seek out this funding to secure our sustainability

of the program

23

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 66: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

INDIANA MATH AND SCIENCE ACADEMY X SAFETY AND TRANSPORTATION

The CCLC program will follow the same safety protocol aligned with the regular school safety

plan Staff and outside contractual personnel will be made aware of the emergency protocol

plan fire drill escape routes and proper evacuation process outlined within the school safety

plan Emergency protocol and plan can be found at The program will take place inside the school

building and doors will be locked at all times No one is allowed access without proper security

protocol including using the security buzzer to gain entrance naming the specific child to be

picked up showing proper identification and filling out parent sign-out sheet All personnel

outside of the traditional day staff who already have been cleared will need a background check

ndash following the school protocol These files will be kept under lock in the main office in

personnel files To meet the needs of our families students will be transported by bus to their

home location at the end of each afterschool session

XI BUDGET DETAIL

The majority of our budget will go towards transportation and personnel salaries Rates for

Project Director is $30 Site Manager $25 Teachers $25 and Teaching Assistants $12 $122020

Total Fringe Benefits $18303 Local evaluator cost would approximate $18000 and data

compilation $800 Transportation - $128240 Professional Development conference cost would

be approximately $700 for 2 conferences 4 people Snacks will be through state resources ndash

Child and Adult Care Food Program (CACFP) and reimbursed through the program Budget time

line for years 2-4 will be the same as year one Supplies $11977 Art supplies $2400 Student

supplies $660 Readers Theater $1500 ndash Total $300000

24

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Figure
    • Figure
    • Figure
    • Program Director
    • Figure
Page 67: Forms and Documents 21stCCLC...Number Email: kbrown@imsaindy.org All Partners in the 21 st Century Community Learning Center need to be listed here. Please indicate if the commitment

Appendix B ndash Requirements of GEPA 427

Indiana Math and Science Academy will ensure to the fullest extent possible equitable access to participation in and appropriate educational opportunities for all faculty staff students and families with special needs We do not discriminate on the basis of race color sex religion or national origin age disability genetic information sexual orientation gender expression pregnancy marital status military status veteran status or any other status or classification protected by federal state or local law and its education research health care service and community outreach activities We will provide reasonable and appropriate accommodations for the needs of our students staff community members and other participants

Plan

We will sustain a diverse and inclusive environment

Celebrate diversity and inclusive excellence

Include cultural and diversity exploration as part of professional development

Examine policies procedurescommunication and media connections to ensure inclusive excellence

  • Structure Bookmarks
    • 48
    • Form 2 ndash List of Schools to be Served by 21st CCLC ndash Attachment B
    • 49
    • Form 3 ndash List of 21st CCLC Program CentersSites ndash Attachment C
    • 50
    • 51
    • Figure
    • Figure
    • Figure
    • 53
    • Figure
    • 54
    • 55 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259-7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-
    • 56 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) 259 -7300 Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in
    • 57 Applicant Signature Print Name Kimila Brown Organization IMSA-North Indiana Math and Science Academy North (IMSA-North) is a K-8 tuition free college preparatory charter school which is funded by public sources Address 7435 N Keystone Ave Indianapolis IN 46240 Phone (317) Number Fax Number Email kbrownimsaindyorg All Partners in the 21st Century Community Learning Center need to be listed here Please indicate if the commitment the partner is providing is on a contract or is an in-kind serv
    • 58
    • 59
    • 21st Century Community Learning Centers Cohort 9 Year 1 Budget Workbook (2018-2019) This workbook consists of 4 spreadsheet tabs Instrcutions Grant Budget Summary Budget Form Year 1 Details Grant Budget Summary The Grant Budget Summary spreadsheet is locked as the numbers will populate from the Budget Form Year 1 spreadsheet Budget Form Year 1 Includes formulas to generate totals Budget Form Year 1 Cost Per Item Column What is the cost per item
    • Budget Form Year 1 Contractual Expenses 1 An indirect cost rate can only be applied to the first $25000 of each contractual expense To represent this on the budget a formula is included to separate the first $25000 of each contractual item Up to $25000 of each contractual item is included in the total Direct Cost total and the Indirect Cost Rate (ICR) calculation Expenses beyond the first $25000 will be included in the total amount following the indirect cost rate calculation
    • 21st Century Community Learning Centers Budget Summary Federal Agency US Department of Education -- Pass-Through Entity Indiana Department of Education CFDA 84287 --Federal Award ID S287C150014 -- Fiscal Year of Award 2016 Project Year 2018-2019 -- Cohort 9 Year 1 Applicant Name Indiana Math amp Science Academy Applicant Federal ID Number 27-2184783 Grantee DUNS 84262492 Budget Categories Project Year 1 Personnel $12202000 Fringe Benefits $1830300 Travel $000 Transportation $12824000
    • Contractual (not included in ICR) $000 Total $30000000 Reimbursement will only be made for charges specificially permitted under the scope of funding and in accordance with Indiana State Law under the approved grant agreement If applicable to your grant - Indirect Cost Information (To Be Completed by Your Business Off
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
    • Century Community Learning Centers - Cohort 9 Year 1 Applicant Name XXXXXX Directions Please enter each item to to be funded into the appropriate funding category All components (Description Cost Each and Quantity) must be completed for the budget to be approved Please use Quantity Description if needed as necessary to explain the cost items The Subtotals and Total Budget will calculate automatically Input all numbers rounded to the nearest dollar amount Please provide budget detail on the t
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