Appendix C Bypass RFP Affirmation Form.doc

Appendix C

AFFIRMATION OF CONSULTATION

WITH PRIVATE SCHOOL OFFICIALS

SAMPLE FORM for USE by LEAs *

Sec. 1120(b) of the Elementary and Secondary Education Act and Sec. 200.63 of the Title I regulations require that timely and meaningful consultation occur between the local education agency (LEA) and private school officials prior to any decision that affects the opportunities of eligible private school children, teachers, and other educational personnel to participate in programs under this act. Consultation shall continue throughout the implementation and assessment of activities under this section.

The following topics must be discussed during the ongoing consultation process:

· How the LEA will identify the needs of eligible private school children;

· What services the LEA will offer to eligible private school children;

· How and when the LEA will make decisions about the delivery of services;

· How, where and by whom the LEA will provide services to eligible private school children, including a thorough consideration and analysis of the views of the private school officials on the provision of services through a contract with a third-party provider;

· How the LEA will assess academically the services to eligible private school children in accordance with Sec. 200.10 and how the LEA will use the results of that assessment to improve Title I services;

· The size and scope of the equitable services that the LEA will provide to eligible private school children and, consistent with Sec. 200.64 of the Title I regulations, the proportion of funds that will be allocated to provide these services;

· The method or sources of data that the LEA will use under Sec. 200.78 to determine the number of private school children from low income families residing in participating public school attendance areas, including whether the LEA will extrapolate data, if a survey is used;

· The equitable services the LEA will provide to teachers and families of participating private school children.; and

· If the LEA disagrees with the views of the private school officials on the provisions of services through a contract, the LEA must provide the private schools the reasons in writing why the LEA chooses not to use a contractor.

We agree that timely and meaningful consultation occurred before the LEA made any decision that affected the participation of eligible private school children in the Title I, Part A, programs.

Public School Official

Date Private School Representative Date

School District

Name of Private School Agency or School

The LEA must maintain a copy of this form in its records and provide a copy to the SEA.

*This is not an official Department of Education document. It is provided only as an example.