A r c h i v e d  I n f o r m a t i o n

Comprehensive School Reform Demonstration Program
Early Implementation Report

NOTE: As local awards are made, SEAs should provide the following information for each local educational agency receiving funding. The information should be sent to Southwest Educational Development Laboratory (SEDL), 211 E. Seventh Street, Austin, Texas 78701-3281, or by e-mail to <jbuttram@sedl.org> or <whoover@sedl.org>.

District Name: ________________________________________________________________________________
Employer Identification Number (EIN): ____________________________________________________________
District contact person, contact's phone number and e-mail address: ____________________________________

Name of School Awarded Funds and Contact Information (contact person, address, phone #, e-mail School Grade Span School Poverty Rate(1) Award Date Amount of Award Model(s) Integrated in Program(2) Does the school receive Title I funds? If so, indicate if schoolwide (SW) or targeted assistance (TA). Has school been identified for improvement under Section 1116(c) of Title I? Has school been identified, according to other state or local policies, as low-performing, or for intervention or reconstitution?

1. Data source of poverty rate (e.g., % of students that qualify for free and reduced price lunch): ______________________

2. List in the table any externally developed model(s) implemented as part of a schools comprehensive school reform program. For example, these entries may be names of models listed in the legislation. If the models are locally-developed, indicate "locally-developed" in this column.


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