Attachment B - IRSSP RFA 26-28 Grant - Application Form Link.pdf

RFA S-58100-00013825–ODE IRSSP RFA 26-28 Grant Attachment B

Immigrant/Refugee Student Success Plan

2026-28 Grant Application

SUBMIT APPLICATION VIA SMARTHSEET

https://app.smartsheet.com/b/form/019717d65ced7b7bafb4550c1f194bb7

Period of Performance: April 1, 2026 - June 30, 2028 Application Deadline: December 1, 2025, 3:00 p.m. Pacific Time

The contents provided in this Application are part of a Request for Applications (RFA) released by the Oregon Department of Education.

Important:

• Applicants MUST review the RFA in its entirety, including all Attachments, before completing this application.

• Applications are due no later than Monday, December 1, 2025, at 3:00 p.m. Pacific Time.

• Progress cannot be saved on incomplete applications. ODE recommends drafting responses to this application outside of this form and returning to copy/paste your responses when you are ready to submit so you do not lose your progress.

• All required attachments must be uploaded to this application (see space at the bottom of the form) at the time of submission; be sure your attachments are ready before beginning this form.

Questions? All questions must be directed to the Single Point of Contact (SPC) for this RFA, as described in Section 1.5 of the RFA.

Applicant Information

Applicant Organization Name* This field is required

Applicant Organization Type* Select

Applicant Mailing Address* This field is required

Organization Website URL* This field is required

Authorized Contacts

Primary Authorized Contact Name* This field is required

Pronouns - Primary Authorized Contact Optional space to share your pronouns (e.g., they/them, he/they, she/ella)

Role/Title - Primary Authorized Contact* This field is required https://app.smartsheet.com/b/form/019717d65ced7b7bafb4550c1f194bb7

Mailing Address - Primary Authorized Contact*

Email - Primary Authorized Contact* This field is required

Phone - Primary Authorized Contact* This field is required

Is this person also the fiscal contact?* Select or enter value

Regional Focus

Primary Region Served by the Project*

Select the primary region served by the Project.

Select

If applicable, select any additional Region(s) where the Project will provide meaningful service.

Select

Counties Served by the Project* Select

School Districts Served by the Project* Select

Application Narrative Responses

All narrative sections below are required.

Evaluation criteria for each of the narrative sections can be found in Section 4 of the RFA.

Project Summary* Provide a one-to-two paragraph summary of your proposed project. Include details such as the community served by the project, the scope and sequence of services/activities to be provided, key partners in the project (if applicable), and any other significant components to your proposed project.

This field is required

Primary IRSSP Goal* Select the primary Immigrant/Refugee Student Success Plan goal your project will address.

Select

If applicable, select any additional IRSSP Goals addressed by Project.

Select

Immigrant and Refugee Community Served* Which immigrant and/or refugee community do you intend to serve through this grant? Provide details such as cultural, ethnic, and linguistic identities.

How is your organization connected to the community you plan to serve through this grant?*

• Describe how your organization works with, listens to, and otherwise includes immigrant and refugee students, families, and community members in project design, implementation, and decision making. In developing your response, consider the definition of Community Voice established for this RFA (Section 2.2.1).

• Highlight existing staff, community partnerships, or cultural expertise that will support the success of this project.

Project Narrative* The project Narrative must include:

• A detailed narrative description of the proposed Project Plan for each year of the grant—to clarify and supplement the information provided in the attached Activities Table and Budget.

• A detailed explanation of how the proposed Project Plan is designed to achieve the goals and objectives of the Student Success Plan, including how it is aligned to the specific IRSSP strategy/ies.

Service Area & Local Context

Respond to the prompts below to describe your proposed service area. Include data (quantitative and/or qualitative, such as local district data, national data, listening session data, survey data, research studies, etc.) to illustrate community needs.

Needs of Plan Students*

• Describe the needs of Plan Students in your community.

This field is required

Existing Programs or Services*

• Describe existing programs or services for Plan Students in your community.

This field is required

Gaps in Service*

• Describe how your proposed Project will address gaps in service.

This field is required

Service to Rural Communities*

• Describe whether and how your Project serves rural communities.

• Include details such as whether Project Activities will be specifically designed by and/or for rural communities.

Equity and Anti-Racism* Describe how your Project centers equity and anti-racism in its design and implementation.

This field is required

Addressing Participants' Intersecting Identities*

• Describe how your Project serves the needs of Plan Students with intersecting identities (e.g., race, ethnicity, gender identity, sexual orientation, disability, national origin, religion).

• Include specific intersecting Plan student identities and strategies from your Project to support your claim.

Addressing Barriers to Participation*

• Describe how you will address communication and/or participation barriers to ensure authentic engagement opportunities for Plan students and community members.

This field is required

Data Collection and Assessment Plan*

• Describe what data will be collected and the assessment tools used to monitor progress toward

IRSSP goals and objectives.

• Describe what data will be collected to determine whether each annual milestone has activity objectives have been met.

• Describe plans to analyze and disseminate Project outcomes with partners, Plan students, and the community.

This field is required

Project Sustainability Plan*

• Describe your plan for sustaining the work of the Project in addition to or in the absence of these

Grant Funds. Include specific plans and any alternate funding streams you will deploy to continue the work of your Project.

Priority Focus: PK-5 Literacy, Math & Attendance Priority will be given to projects that focus on improving outcomes for PK-5 students in the areas of literacy, math, and/or attendance.

• If applicable, describe how your Project addresses these areas.

Partner Information

Do you have partners to report?* If you have partnerships who fit the definition listed in the RFA (Section 2.2.1), you must attach Attachment C: Partnership Form for each in the space provided at the bottom of this form.

Yes

No

Funds Requested

Using information from the "Project Total Requested Budget" tab of Attachment E: Project Budget, enter the amount requested for each year of the grant.

As noted in Section 1.2 of the RFA:

"Each Grant will be awarded with initial funding to cover the period from April 1, 2026, to June 30, 2027.

Funding for 2027-2028 may differ from the initial award amount and will depend on legislative appropriation and an assessment of the previous year's Grant project performance."

2026-2027 Funds Requested*

Using information from the "Project Total Requested Budget" tab of your Project Budget, enter the amount requested for 26-27 (April 1, 2026 - June 30, 2027). Amount may not exceed $200,000.

This field is required

2027-2028 Funds Requested*

Using information from the "Project Total Requested Budget" tab of your Project Budget, enter the amount requested for 27-28 (July 1, 2027 - June 30, 2028). Amount may not exceed $200,000.

This field is required

Total Funds Requested*

Using information from the "Project Total Requested Budget" tab of your Project Budget, enter the total amount requested (cell B5) for the full grant period (April 1, 2026 - June 30, 2028). Amount may not exceed $400,000.

This field is required

Attachments

Upload Attachments*

> Attachments must be created using the templates provided with the RFA.

> All required attachments must be uploaded for your application to be scored.

> Submit the file formats listed below, using the following naming protocol:

• Organization Name Abbreviation_Attachment Name. For example, “Example Org_Budget”.

1. REQUIRED ONLY IF APPLICABLE: Attachment C: Partnership Form (File Format: .pdf)

2. REQUIRED: Attachment D: Project Activities Table (File Format: .xlsx)

3. REQUIRED: Attachment E: Project Budget (File Format: .xlsx)

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