Now York State Education Department LEA School Improvement Grant Applieation, FY 2010 ‘Under 1003 (g) of the Elementary and Secondary Education Act of 1965 APPENDIX: RESTART MODEL for the Res Directions: Please complete the following form for each persistently lowest-achieving Tier I or Tier Il school within the LEA that Tak plement a Restart Model. When competing this pln, please refer to the Model Implementation Plan Rubric to ensue quality responses. LEA: NCES#, Schoo NCES#: Grades Served: ‘Number of students = In the chart below, describe the needs assessment process used, and the conclusions drawn for the school listed above. Inchade {fata gathered during any Joint Intervention Team or School Under Registration Review visit, with any additional informaticg ‘rom local assessment tools. ‘Needs Assessment Process ‘ist Data Analyzed ‘Major Findings Describe how the Restart Model addresses the major findings of the needs assessment. angiNew York State Education Department LEA School Improvement Grant Application, FY 2010 ‘Under 1003 (g) ofthe Elementary and Secondary Education Act of 1965 APPENDIX B: RESTART MODEL Jn the chart below, provide a description of the LEA plan for implementation of the model at the school. [Action Required By Restart Model Deseription of how the aetion will be accomplished by LEA Describe when the action will ‘occur during the grant period (include actions taken during the pre-implementation period), and why at chat time Description of costs associated with the action (description should align with budget narrative and budget ‘provided for grant) “A restart model is one in which an LEA converts school or ‘loses and reopens a schoal under a charter school operator, a charter management ‘organization (CMO), or an ‘education management organization (EMO) that has | been selected through a rigorous review process. (A, CMO is anon-profit ‘organization that operates or ‘manages charter schools by ‘centralizing or sharing certain ‘funetions and geppurces among schools. An EMG is for. profit or non-profit organization that provides “whole-school operation” services to an LEA.) sngittNew York State Education Department LEA School Improvement Grant Application, FY 2010 Under 1003 (g) of the Elementary and Secondary Education Act of 1965 | Action Required By Restart | Deseription of how the action Model | will be accomplished by LEA Describe when the aston wil occur duving the grant period (include actions taken during the preimplementation period), and why at that tne Description of costs associated | with the action (description should align with budget narrative and budget provided for grant) | Fulfill all New York State requirements for converting school into a charter school | Enroll, within the grades & serves, any former student who ‘wishes to attend the school ‘Notify parenis and community ‘of conversion, and provide information on school choice options available Greate a plan to anata students who either 8) cannot attend the new school because their grade isnot served; or b) hhave parents who wish to opt 3/18/11[New York State Eaucation Department LEA School Improvement Grant Application, FY 2010 ‘Under 1003 (g) of the Elementary and Secondary Education Act of 1965 “Action Required By Restart Model Description of how the action will be accomplished by LEA Describe when the aetion will oceur during the grant period (include actions taken during ‘the pre-implementation period), and why at that time ‘Description of costs associated ‘with the action (description should align with budget narrative and budget, provided for grant) ‘out of the new charter school, Provide NYSED with a list of | schools that will receive transfer students. Create an accouniabiity contract with the CMO, with clearly defined goals for student achievement Tfesteral patra willbe used to secomplshallor any of the ations deserbed- Recut, screen, and select, extemal provides to ensire | thei quality 3ngiii‘New York State Ex..cation Department LEA School Improvement Grant Application, FY 2010 ‘Under 1003 (g) of the Elementary and Secondary Education Act of 1965 ‘Cost of implementation of Model (over3 | Amount of 1003(@) funds LEA will “Amount of additional fands, to be years) | allocate to school provided by other sources, LEA will allocate to school s Is 3 Deseribe how the LEA will fund the actions described in the model, including resources other than 1003(g) to support the interventions, and plans to sustain the interventions after the grant ends. Describe any obstacles to implementing this plan (ex: collective bargaining agreements, lack of professional staff, ete.) that the ‘LEA faces with this particular school, and how the LEA plans to address these challenges, Deseribe how the LEA will modify its practices or policies, if necessary, to enable it to implement the interventions fully and effectively at this school. angi