Component of Plan
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Explanation of Component
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Met/Not Met
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| Brief Explanation and Purpose of the Proposed Initiative
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Justified Need:
Include reference to strategic plan and/or the district plan of improvement and data demonstrating deficiencies. Is there a clear objective to the proposal that can be measured or evaluated? (District-wide or building initiative)
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Staff and Students Involved:
Criteria for qualification of services as well as explanation or sample of the data that will be collected.
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| Outline the Structure of the Initiative: Timelines, Curriculum Resources and Materials, Training Necessary, … etc.
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| Budget and Funding Source
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| Research base for suggested initiative.
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| Evaluation process for determining impact on student learning. What is the tool for evaluation and the process that will be used?
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| Consider interventions already in place and whether or not those can be eliminated or adjusted.
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| Statement of who will be responsible for each phase or component of the initiative.
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