Please respond to the following questions to be considered for this opportunity. In your responses, include data that supports the need for coordinated wraparound services on your campus (e.g., attendance, behavior, extenuating neighborhood challenges, etc.).

The name and photo associated with your Google account will be recorded when you upload files and submit this form. 

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* 1. Name

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* 2. Email

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* 3. School Name

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* 4. Describe your current wraparound service model. Please include a detailed response on how you identify student need, coordinate services, partner with organizations, and monitor student progress and outcomes.

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* 5. What systems do you use to manage attendance concerns? Include interventions that have been successful in reducing excessive absences.

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* 6. What systems do you use to manage behavioral concerns? Include interventions that have been successful in reducing ISS, OSS, and DAEP referrals.

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* 7. What factors should be considered in hiring a wraparound specialist for your campus? (Please note the hiring decision will be made by the campus.)

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* 8. Why is it important for your school to participate in this cohort opportunity?

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* 9. If selected, what are your expectations for Year 1 and beyond?

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* 10. Which other schools in your feeder are also applying for this opportunity?

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* 11. Please upload any data that supports why your school should be selected

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