№ files_lp_3_process_7_031597
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Administrative qualification and certification form outlining eligibility criteria, desired experience, and legal attestation requirements for consultants participating in the evaluation of 21st CCLC grant applications in Washington State.
Document Type:
Consultant Qualification and Certification Form
Program:
21st Century Community Learning Centers (21st CCLC)
State:
Washington
Country:
United States
Subject:
Consultant eligibility and qualifications for grant scoring and youth development programs
Minimum Qualifications:
Business license in Washington State; bachelor’s degree or three years of direct youth development experience; knowledge of evidence-based before and after school programs; availability for four-hour virtual RFP scoring training on August 1, 2025
Additional Desired Qualifications:
Experience with 21st CCLC or similar youth-serving programs; knowledge of federally funded education programs; experience reviewing or scoring 21st CCLC grant applications
Training Date:
August 1, 2025
Training Time:
9:00 a.m.–1:00 p.m. PST/PDT
Certification Statement:
Declaration under penalty of perjury under the laws of the State of Washington
Required Signatories:
Bidder (signature), printed name, title, organization name
Place of Signature:
City and State
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Effective Date:
[Insert Effective Date]
Parties:
[School/LEA Name], [Grantee Name]
Purpose:
Authorize release and use of student personal and educational data
Data Elements:
PASecure ID, Last Name, First Name, Grade Level, Educating School Building, PSSA/PASA scores, GPA, School attendance rate, In-school suspensions, Graduation/promotion/dropout status, Student demographics (race/ethnicity, economically disadvantaged, sex/gender, language, disability)
Compliance:
Federal GPRA measures, state 21st Century CCLC evaluation, FERPA
Consent:
Written parental consent required
Data Sharing:
Allegheny Intermediate Unit Department of Evaluation, Grants, and Data; local evaluator [Name]
Term:
12 months, renewable annually
Data Retention:
PII destroyed within 30 days after no longer needed
Note:
Year
Year:
2024
Region / City:
Colorado
Topic:
Education, Community Learning Centers
Document Type:
Operational Manual
Agency / Institution:
Colorado Department of Education (CDE)
Author:
Colorado Department of Education (CDE)
Target Audience:
Local Education Agencies, Community-based Organizations, Public or Private Entities, Program Staff
Effective Period:
Ongoing
Approval Date:
2024
Date of Changes:
N/A
21st Century Community Learning Centers Overview of the 21st CCLC Annual Performance Data: 2015–2016
Year:
2017
Region / city:
United States
Topic:
Education
Document type:
Report
Organization / institution:
U.S. Department of Education
Author:
Sylvia E. Lyles, Ph.D.
Target audience:
Federal government, policymakers, educators, program administrators
Period of validity:
2015–2016
Date of approval:
2017
Date of changes:
N/A
Note:
Contextual description
Year:
Not specified
Region / City:
Gibson County
Topic:
Sustainability plan for the 21st CCLC Program
Document Type:
Sustainability Plan
Organization / Institution:
Gibson County Special School District
Author:
Not specified
Target Audience:
School district administrators, community partners
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2026
Region / City:
United States
Subject:
Education, Project-Based Learning, Hip Hop
Document Type:
Educational Plan
Institution:
21st Century Community Learning Centers
Author:
Not specified
Target Audience:
Teachers, Program Staff, Students
Start Date:
August 2026
End Date:
May 2027
Modification Date:
Not specified
Note:
Year
Theme:
Inclusive Education, Classroom Assessment
Document Type:
Report
Target Audience:
Early childhood educators, Special education professionals
Note:
Year
Topic:
Domestic Violence Scoring
Document Type:
Scoring Guide
Year:
2023
Region / City:
United States
Topic:
Community Inclusion, Case Notes
Document Type:
Scoring Guide
Organization / Institution:
N/A
Author:
N/A
Target Audience:
Service Providers, Community Inclusion Workers
Effective Period:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2021
Document type:
Clinical guideline
Instrument:
KOQUSS-40; KOQUSS-32
Health condition:
Gastric cancer
Patient population:
Patients after gastrectomy
Developing organization:
Korean Quality of Life in Stomach Cancer Patients Study Group
Affiliated organization:
Korean Gastric Cancer Association
Country:
Republic of Korea
Domains assessed:
Gastrointestinal symptoms; psychological state; scar-related issues; economic problems; overall quality of life
Number of items:
40; 32
Scoring range:
0–100
Intended use:
Research and clinical practice
Copyright holder:
Korean Quality of Life in Stomach Cancer Patients Study Group
Source journal:
Cancer Research and Treatment
Year:
2004
Type of document:
Clinical assessment protocol
Target population:
Individuals undergoing gait and balance evaluation
Number of test items:
10
Equipment:
Stopwatch, measuring device, marked walking area, obstacle, steps with rails
Scoring system:
0–3 ordinal scale per item, total maximum score 30
Administration time:
5–20 minutes depending on clinician experience
Setting requirements:
Quiet environment, pre-measured 20ft (6m) walking area
Authors / Source:
Wrisley, 2004
Purpose:
Evaluation of postural stability and gait performance
Year:
2016
Region / City:
New Mexico
Topic:
Child Development, Scoring Procedures
Document Type:
Update
Organization / Institution:
FIT Program
Author:
Not specified
Target Audience:
Professionals in child development and evaluation
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
July 2016
Temperament Scale Definitions and Scoring Procedures for the Children's Behavior Questionnaire (CBQ)
Document type:
Scale definitions and scoring instructions
Field:
Developmental psychology
Focus:
Child temperament assessment
Respondent:
Caregiver
Assessment period:
Last 6 months
Measurement approach:
Mean scale scores based on item responses
Scoring method:
Item summation, reverse scoring, and averaging
Statistical software reference:
SPSS
Variables:
Activity Level, Anger/Frustration, Approach, Attentional Focusing, Discomfort, Falling Reactivity and Soothability, Fear, High Intensity Pleasure, Impulsivity, Inhibitory Control, Low Intensity Pleasure, Perceptual Sensitivity, Sadness, Shyness, Smiling and Laughter
Content source:
Psychometric assessment documentation
Year:
N/A
Region / City:
N/A
Theme:
Probability, Statistics, Education
Document Type:
Statistical Analysis
Organization / Institution:
N/A
Author:
N/A
Target Audience:
Students, Educators, Statisticians
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2020
Region / City:
Global
Topic:
Childhood Trauma, Neuroscience
Document Type:
Scientific Paper
Organization / Institution:
Journal of Aggression, Maltreatment & Trauma
Author:
Schmidt MR, Narayan AJ, Atzl VM, Rivera LM, Lieberman AF
Target Audience:
Researchers, Clinicians
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Context:
Supplementary information to a study on childhood trauma, detailing scoring and methodological aspects related to the CTQ-28 and associated brain region definitions.
Year:
2016
Region / City:
Wisconsin
Subject:
Substance use disorder treatment
Document Type:
Form
Agency:
Department of Health Services, State of Wisconsin
Author:
Division of Care and Treatment Services
Target Audience:
Health professionals involved in substance use treatment assessments
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Scoring System for the use of Nebulizers in the Primary Care settings: An Expert Consensus Statement
Year:
2021
Region / City:
India
Theme:
Respiratory Medicine, Nebulizer Use
Document Type:
Expert Consensus Statement
Organization / Institution:
Pulmonary Medicine, Jindal Clinics, CREST, Deccan College of Medical Sciences, National Allergy Asthma Bronchitis Institute, CK Birla Hospitals, Chest Care Centre, Fortis Hospital, Metro Centre for Respiratory Diseases
Author:
Surinder K Jindal, Shrikant Pawar, Ashfaq Hasan, Aloke Ghoshal, Raja Dhar, Subodh K Katiyar, KS Satish, Deepak Talwar, Sundeep Salvi
Target Audience:
Primary care practitioners, healthcare providers
Period of validity:
Ongoing
Approval Date:
Not specified
Date of revisions:
Not specified
Year:
2016
Region / City:
Washington, DC
Topic:
Firearm safety, technology evaluation
Document Type:
Draft
Organization / Institution:
National Institute of Justice
Author:
National Institute of Justice
Target Audience:
Firearm safety researchers, engineers, evaluators
Period of Effect:
June 2016
Approval Date:
June 2016
Modification Date:
N/A