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Title I - Private School Support

Forms

Intent to Participate in Title I forms for 2013-2014:

  • Intent to Participate in Title I Program (this form is for any private school that has students whose public home school would be a TUSD Title I school) Word | PDF
  • Family Income Eligibility Form (list grades and addresses of students that are low-income and reside within a TUSD Title I school boundary) Word | PDF
  • Enrollment Survey (list students from the Family Income Eligibility Form by the TUSD school they would attend)
    Word | PDF
  • Family Income Survey Form (if you do not have free and reduced lunch data, use this chart from the US Dept. of Agriculture to determine if the family is low-income) English: Word | PDF - Spanish: Word | PDF

Intent to Participate in Title II form for 2013-2014:

  • Intent to Participate in Title II, Part A form (this is for private schools located within the TUSD District boundaries – return with your 60 day enrollment total) Word | PDF

Needs Assessment:

  • 2013-2014 Needs Assessment and Program Development Plan (must be completed for both Title I and Title II programs) Word | PDF

Student Selection Form:

  • Student Selection Form (this form is used to determine students who will receive Title I instruction; eligibility is based upon an address within a TUSD Title I school boundary and academic need) Excel

Permission to Participate form:

  • Title I Student Participation Permission form (this is to be completed by the parent or guardian of students who are eligible to receive Title I supplemental instruction) Word | PDF

Affirmation of Consultation:

  • 2013 Affirmation of Consultation (this form was to be completed at the end of services for the 2012-2013 school and fiscal year) PDF

Travel Planning form:

  • Private School Travel Planning Form (use this form to submit your request to use Title funds to travel for professional development activities) Excel

Arizona Travel Reimbursement Rates:

  • State of Arizona Travel Policy (use information in this document to determine per diems for your travel) PDF

Travel Reimbursement form:

  • Private School Reimbursement Claim Request (this form is to be completed with original receipts for any travel using Title funds) Excel