"Site Visit Evidence Checklist - Alternative Education Program" - Oklahoma

Site Visit Evidence Checklist - Alternative Education Program is a legal document that was released by the Oklahoma State Department of Education - a government authority operating within Oklahoma.

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ALTERNATIVE EDUCATION PROGRAM
SITE VISIT EVIDENCE CHECKLIST
70 O.S. 2011
– FORM REV JULY 2020
Reminders
District-Wide Student Needs Assessment (Section 1210.566-A)—Due June 30 in Single Sign-On
Expenditure Report (Section 1210.568-E & J)—Due June 30 via email
End-of-Year Data—Due June 30 via Electronic Form Survey
Proposed Budget, Authorization to Pay Form, and Implementation Report (Section 1210.566-B)—
Due September 1 in Single Sign-On
Site Information
__________________________________________
__________________________________________
District/Site Date of Visit
Date of Visit
__________________________________________
__________________________________________
Are you an LEA or COOP
Sending Schools
__________________________________________
__________________________________________
Days Program Meets
Hours Program Meets
Student Information
__________________________________________
__________________________________________
Slots Available
Number in Attendance Today
__________________________________________
__________________________________________
Dropouts to Date
Pregnant/Parenting Students
__________________________________________
__________________________________________
Number of CTE Students
Number of Concurrent Enrolled Students
__________________________________________
__________________________________________
Number of IEP Students/District IEP Rate
Number Participating in Service Learning
__________________________________________
__________________________________________
Number Employed/Work Study
Number in Internships/Job Shadowing
Signatures
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
OKLAHOMA STATE DEPARTMENT OF EDUCATION
2500 N Lincoln Blvd, Oklahoma City OK 73105
1
ALTERNATIVE EDUCATION PROGRAM
SITE VISIT EVIDENCE CHECKLIST
70 O.S. 2011
– FORM REV JULY 2020
Reminders
District-Wide Student Needs Assessment (Section 1210.566-A)—Due June 30 in Single Sign-On
Expenditure Report (Section 1210.568-E & J)—Due June 30 via email
End-of-Year Data—Due June 30 via Electronic Form Survey
Proposed Budget, Authorization to Pay Form, and Implementation Report (Section 1210.566-B)—
Due September 1 in Single Sign-On
Site Information
__________________________________________
__________________________________________
District/Site Date of Visit
Date of Visit
__________________________________________
__________________________________________
Are you an LEA or COOP
Sending Schools
__________________________________________
__________________________________________
Days Program Meets
Hours Program Meets
Student Information
__________________________________________
__________________________________________
Slots Available
Number in Attendance Today
__________________________________________
__________________________________________
Dropouts to Date
Pregnant/Parenting Students
__________________________________________
__________________________________________
Number of CTE Students
Number of Concurrent Enrolled Students
__________________________________________
__________________________________________
Number of IEP Students/District IEP Rate
Number Participating in Service Learning
__________________________________________
__________________________________________
Number Employed/Work Study
Number in Internships/Job Shadowing
Signatures
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
__________________________________________
__________________________________________
Evaluation Committee Signature
Signature Date
OKLAHOMA STATE DEPARTMENT OF EDUCATION
2500 N Lincoln Blvd, Oklahoma City OK 73105
1
ALTERNATIVE EDUCATION PROGRAM SITE VISIT EVIDENCE CHECKLIST
CRITERIA REVIEW
PROGRAM CRITERIA AND SUPPORTING EVIDENCE
YES
NO
Criteria 1—Allow class sizes and student/teacher ratio which are conducive to
effective learning for at-risk students
1. Approved Waiver for less than 10 students (if applicable).
2. Approved Deregulation for Time letter (if applicable).
3. List of names and grades of all students currently being served.
Criteria 2—Incorporate appropriate structure, curriculum, and interaction and
reinforcement strategies designed to provide effective instruction
4. Positive Behavioral Interventions (PBIS)— i.e. Reward systems, motivational
strategies.
5. Record keeping for attendance, course completion and behavior (beyond
curriculum software tracking).
6. Response to Intervention (RTI)—strategies, PLC meeting agendas.
7. Parent Contact Sheets with contact dates.
Criteria 3—Include an intake and screening process to determine eligibility of
students
8. Sample of Student Contracts with signatures of Intake Committee.
9. Samples of High School Criteria for At-Risk Identification form.
10. Intake Packet.
Criteria 4—Demonstrate that teaching faculty are appropriately certified teachers
11. Instructor Certification and/or approved Teaching Out of Certification.
Criteria 5—Demonstrate that teaching faculty have been selected on the basis of a
record of successful work with at-risk students or personal and educational factors
that qualify them for work with at-risk students
12. Sample resumes containing examples of training and/or certificates related
to serving at-risk populations (i.e. trauma-informed, managing aggressive
behavior, service in youth programs).
Criteria 6—Reflect appropriate collaborative efforts with state agencies and local
agencies serving youth
13. List of State and Local Organizations that have visited and community
activities.
14. Additional counseling and Social Services (Home visits, parent training
documentation).
15. List of Meeting Agendas, Dates and Sign-in Sheets.
OKLAHOMA STATE DEPARTMENT OF EDUCATION
2500 N Lincoln Blvd, Oklahoma City OK 73105
2
ALTERNATIVE EDUCATION PROGRAM SITE VISIT EVIDENCE CHECKLIST
CRITERIA REVIEW
PROGRAM CRITERIA AND SUPPORTING EVIDENCE
YES
NO
Criteria 7—Provide courses that meet the academic curricula standards adopted by
the State Board of Education and additional remedial courses
16. Primary Curriculum (please identify: ______________________________).
Criteria 8—Offer individualized instruction
17. Sample student schedule.
18. Tutorial schedule, tutoring logs.
See Item 4 above Positive Behavioral Interventions (PBIS) and/or Item 6 above
Response to Intervention (RTI).
Criteria 9—State clear and measurable program goals and objectives
19. Program Goals and Objectives (written, posted, published).
Criteria 10—Include counseling and social services components
20. Counseling session dates and topics.
21. Copy of Counseling Providers Certificate or License.
Criteria 11—Require a plan leading to graduation be developed for each student in
the program which will allow the student to participate in graduation exercise at the
sending school or district after meeting the requirements of the school district as
specified in the individual graduation plan for that student
22. Graduation Plan with transitions beyond high school and dates reviewed.
(such as college, career tech, military or internships).
Criteria 12—Offer life skills instruction
23. Life Skills (include weekly list of topics, curriculum and student career
interest inventories).
Criteria 13—Provide opportunities for hands-on arts education to students,
including artist residency programs coordinated with the Oklahoma Arts Council
24. Documentation of integrated Art (activities, field trips or visitors).
Criteria 14—Provide a proposed annual budget
25. Copy of annual budget.
OKLAHOMA STATE DEPARTMENT OF EDUCATION
2500 N Lincoln Blvd, Oklahoma City OK 73105
3
ALTERNATIVE EDUCATION PROGRAM SITE VISIT EVIDENCE CHECKLIST
CRITERIA REVIEW
PROGRAM CRITERIA AND SUPPORTING EVIDENCE
YES
NO
Criteria 15—Be appropriately designed to serve middle school, junior high school
and high school students in grades seven through twelve who are most at risk of not
completing a high school education for a reason other than that identified in Section
13-101 of this title
26. Number of students on IEP and/or 504s (include district rate).
See Item 9: High School Criteria for At-Risk Identification form.
Criteria 16—Allow students in the alternative education program, who otherwise
meet all of the participation requirements, to participate in vocational programs and
extracurricular activities at the sending school or district, including but not limited
to athletics, band, and clubs
27. Sample roster/schedule of students enrolled in CTE programs.
28. Number of students engaged in athletics, band, or other activity at the home
school or district (may also include sample rosters and schedules) _______.
OKLAHOMA STATE DEPARTMENT OF EDUCATION
2500 N Lincoln Blvd, Oklahoma City OK 73105
4
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