Alternative Education New Program Proposal
Approval to establish new alternative education programs needs to be obtained from the Indiana Department of Education. All information on this form in addition to a program narrative must be completed and returned to the Alternative Education Team for review prior to the establishment of the new program or school.
School Corporation Number
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School Corporation Name
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Superintendent
Superintendent
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First Name
Last Name
Superintendent Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a joint program with other school corporations?
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Yes
No
Attach a list of all school corporations if it is a joint program and a copy of the Joint Service Agreement under IC 20-26-10.
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Alternative Education Program Name
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Program Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Contact
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First Name
Last Name
Program Contact Email
*
example@example.com
Contact Address (if different than above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Narrative Section
Please complete all portions of the following proposal. Include specific detail within each narrative section.
What will be the primary mission and vision of the program?
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Who will be served with this program and what is the ultimate desired outcomes for the students?
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How will the program address the specific needs of the students served? Include how specific components will be innovative and carry out the program's mission and vision.
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Why is this program needed, and how does it fit into your school corporation's larger school improvement or strategic plan?
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Select the site or location that best represents the main location of the Alternative Education Program.
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Classroom within a Traditional School
Community Site
Detention Center
Education Center
Solely Home-Based
Separate School Corporation Facility
Vocational/ Career Center
Mall
School within a School
Which students will your program serve (check all that apply)? (Student eligibility IC 20-10.1-4.6-6.5)
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Student intends to withdraw or has withdrawn before graduation
Student has failed to comply academically and would benefit from the alternative education program.
Student is a parent or expectant parent and is unable to attend the traditional school.
Student is employed and employment is necessary forsupport and interferes with the school day.
Student is a disruptive student.
Grade(s) to be served (check all that apply).
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6
7
8
9
10
11
12
Describe in detail the criteria that will be used to identify students for the program.
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Check all entrance methods that apply.
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Student referral
Parent referral
Principal referral
Counselor referral
Other
Describe in detail the interventions that will be incorporated with the student in the general education setting prior to referral.
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Describe in detail the exit process for this alternative education program/school.
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Please provide an estimate of the session times, days, and anticipated number of students. (Programs must operate for a minimum of 3 hours a day - IC: 20-30-2.2)
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Session times (must be at least 3 hours) e.g. 7:30-12:00
Total days the program/school will operate in a year
Anticipated number of students
Morning
Afternoon
Evening
Is an instructional time waiver being requested?
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Yes
No
How many students will have instructional time requirements waived if a waiver is being requested?
Less than 25%
26%-50%
51%-75%
76%-100%
Will any students in grades 6-8 receive an instructional time waiver if a waiver is being requested?
Yes
No
How will the success be determined for students who are receiving an instructional time waiver if a waiver is being requested?
Please indicate the number of staff of each staff member including licensure information.
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Number
Type of License
Full Time (Y/N)
Teachers
Teacher Aides
Counselors
Social Workers
Administrators
Nurse
Other
Describe in detail the curriculum that will be used.
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What instructional learning environments will be used? (Select all methods that apply)
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In-person teacher-led learning
In-person computer-based learning
Hybrid learning (in-person and virtual)
Virtual learning (solely offsite)
Describe in detail the instructional methods and programming that will be implemented.
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Describe how diagnostic, formative, and summative assessments will be used to inform student progress and success.
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Describe how parental involvement will be utilized and leveraged.
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Describe how community involvement will be utilized and leveraged.
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Describe how educational support services and motivational/behavioral components will be incorporated to benefit student success.
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Describe how funding will be used to support this program.
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Describe the qualifications of the staff who will be working with students and/or programming.
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Describe how the program will be continuously evaluated and how local and state reporting will be maintained.
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Program Goals: Identify your program's measurable goals. Choose at least 3 goals (one of which must be academic, behavioral, and social/ self-management) and record the data source, baseline, and target. On next year's program renewal application, you will report if the goal was met and explain any shortfalls. Academic Goals:
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Data Source
Baseline
Target
Increase the percent of eligible seniors who graduate.
Graduation rate for the corporation will improve.
Increase the number of students passing Math ISTEP+.
Increase the number of students passing ELA ISTEP+.
Average number of credits earned per student per semester will increase.
Percent of students in program that improve their scale score on the LA portion of ISTEP will increase.
Percent of students in program that improve their scale score on the Math portion of ISTEP will increase.
Percent of students achieving 'pass' or 'pass+' on both portions of the ISTEP+ will increase.
Percent of students in program promoted to next grade level will increase.
Increase percentage of students in program that graduate with a Core 40, academic honors, or technical honors diploma.
Behavioral Goals:
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Data Source
Baseline
Target
The average daily attendance rate at the program will improve.
Increase the percent of students who have fewer behavioral referrals in the alt program than during the year prior to admission.
Number of dropouts from the alternative program will decrease.
Percent of students placed in the alternative program more than once for behavioral reasons will decrease.
Percent of students in the alternative program having <2 days ISS per year will increase.
Decrease the number of suspensions in the corporation.
Decrease the number of expulsions in the corporation.
Percent of students in program promoted to next grade level will increase.
Increase percentage of students in program that graduate with a Core 40, academic honors, or technical honors diploma.
Social/Self-Management Goals:
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Data Source
Baseline
Target
Increase percent of students who rate their overall satisfaction with the alternative program as satisfactory or very satisfactory.
Increase percent of students who complete a job, internship, or service learning project while in the alternative education program.
Increase percent of students who attain all goals on their ISP.
Increase percent of students enrolled in postsecondary education (including technical programs).
Increase the percent of students remaining drug free while in the alternative education program.
I CERTIFY that I am authorized to submit this proposal and that the information submitted is, to the best of my knowledge,true and accurate. School Corporation Superintendent Signature:
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Submit
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