Michigan Department of Education (MDE) 2016-2017 6-12 Seat Time Waiver (STW) Final Report
Deadline: July 21, 2017

If you have questions while completing the report, please contact Eric Lipinski (lipinskie@michigan.gov).

Note: Please consider compiling all of your responses into a Word document, then pasting them into this Google form once you have everything gathered. There is no save feature on this page.

If you would like a copy of this completed form for your records, PLEASE PRINT BEFORE SUBMITTING. The MDE will not be able to provide you with a copy of your answers. Thank you!

District Information
District Information
Please enter the name of your district. *
Your answer
Please enter your district's 5-digit state code. *
Make sure to enter exactly 5 digits. This is not the same as a building code. If you aren't sure, please search for your district code in the Education Entity Master (http://www.cepi.state.mi.us/eem/)
Your answer
Please enter the title and the name of the person completing report. *
Your answer
Please enter the phone number of the person completing this report. *
Your answer
Please enter the E-mail address of the person completing this report. *
Your answer
Please enter the date the Seat Time Waiver program started at the district. *
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Please report student growth measure results delivered by grade levels for online STW students. For grades 6-12, enter the primary assessment used to measure overall student progress and the average percent change in student achievement.
Districts arerequired to report student growth for seat time waiver participants using a growth to proficiency model. The report shall include pupils who are enrolled in their second or greater year of participation in the program.
Primary Assessment Used to Measure Student Progress (6th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (6th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (7th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (7th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (8th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (8th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (9th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (9th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (10th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (10th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (11th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (11th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Primary Assessment Used to Measure Student Progress (12th Grade)
Only enter ONE assessment here.
Your answer
Average Percent Change in Student Achievement (12th Grade)
This percentage should be based on the Primary Assessment indicated above.
Your answer
Other Indicators of Student Growth
Describe any other indicators used to measure student growth of online 6-12 STW students. You may also include other local measures of student progress (i.e. student participation, student engagement). *
Your answer
100% Online Students vs. Blended
Indicate how many students were served in a 100% online format and how many students were served in a blended format.
Number of Students 100% online *
Only enter a numeric figure here.
Your answer
Number of Students in Blended Format *
Only enter a numeric figure here.
Your answer
Number of Teachers assigned to STW program *
Only enter a numeric figure here.
Your answer
Narrative
This narrative section of the report is to gather relevant, detailed implementation data to help make decisions moving forward with the process if applicable. If applicable, please include links to any electronic resources that may help further explain program activities.
1. If you are using an integrated curriculum model, please describe the process and how proficiency in the standards is measured for students. For integrated instruction, indicate the grade levels, and the number and types of courses provided for 6-12 online STW students: *
Your answer
2a: Select the items below that apply to your process for student selection for 6-12 STW students: *
Required
2b: Explain any other processes related to student selection that may not be covered in the available options. *
Your answer
3a. Select the items below related to professional development options that are utilized to address the specific needs of online 6-12 STW students and implementation of effective programming: *
In the "other" box, explain any other relevant processes related to professional development.
Required
3b. Provide an explanation of how the professional development selected in 3a related to 6-12 online learning: *
Your answer
4. Select the items below related to supplemental teaching experiences provided for online 6-12 STW students (i.e. field trips, guest speakers, webinars, etc.): *
Required
4b. Explain how these experiences have impacted student success. *
Your answer
5a. Select the items below that pertain to the process you use for choosing 6-12 online programs and materials: *
Required
5b. What steps are taken to ensure that products are aligned to the appropriate standards in specific subject areas. Include the process for choosing vendors and products as well as the methods, measures, and indicators used to evaluate the effectiveness of products: *
Your answer
6a. Select the items below that support your process for identifying and supporting struggling online 6-12 STW students. *
Required
6b. Indicate how support for students is provided including the process of identifying specific learning needs and the interventions that are employed. Justify the effectiveness of these interventions relating back to student success: *
Your answer
7a. Please describe the availability of instructional support for online 6-12 STW students outside of traditional school hours to take advantage of waiving seat time requirements: *
Required
7b. Based on the responses in 7a., please expand on the availability of instructional support for online 6-12 STW students outside of traditional school hours to take advantage of waiving seat time requirements: *
Your answer
8a. Please complete the grid below describing the frequency of interactions between online 6-12 STW students and instructional staff: *
Less than weekly
Weekly
Bi-weekly
Three or more times per week
E-mail
Video-Messaging (Skype, etc)
Telephone
Face to Face
8b. How are students needs identified, attended to, and evaluated to determine appropriate frequency and type of communication? *
Your answer
9. Please choose the types of technology that are provided to students in your district's online 6-12 STW program and how these are used to support student learning: *
Required
9b. What are some notable ways the selections in 9a are used to support student learning in the district's online 6-12 STW program? *
Your answer
10. Please choose the examples below that pertain to how the specific needs of online STW students in 6-12 are met to assure that students are receiving a comparable educational experience to those in an on-site program to address the social and emotional components as well as ALL academic components: *
Required
11a. Please choose the selections below that describe how STW program staff work with parents of online 6-12 STW students to promote parent engagement into the process of instructional delivery. *
More than weekly
Approximately Weekly
Approximately Bi-weekly
Monthly
Less than monthly
Parent training on Online Learning
Regular progress reports to parents
Newsletters and other applicable information to parents
Contact via phone/e-mail
Face to Face contact
11b: Explain any efforts to engage parents and to conduct follow up to promote participation by parents that leads to student success as compared with parent engagement of non-STW students.: *
Your answer
12a. Please choose the options below that describe notable issues and challenges observed in terms of implementation and meeting the needs of students. *
Required
12b. Please expand upon the selections in 12a and include any additional lessons learned or other valuable information that relates to meeting the unique needs of online STW students in grades 6-12: *
Your answer
13. Please indicate the number of students with special needs (i.e. 504 plans, IEPs, ELL) involved in the online 6-12 STW program and indicate how their needs are being accommodated: *
Your answer
Cost Reporting
In the cost sections, please indicate costs as accurately as possible for the entire 2016-17 school year. Only include costs specific to the online 6-12 STW program.

Only enter numerical figures in the boxes below or N/A if the box is irrelevant to your program.

If you wish to provide any further explanation, please do so in the final item of this section - entitled "Further Explanation on Cost Reporting".

Personnel Costs (include all positions associated with overall online 6-12 STW program) *
Only enter a numeric figure here.
Your answer
Supplies & Materials & Equipment *
Only enter a numeric figure here.
Your answer
Purchased Services *
Only enter a numeric figure here.
Your answer
Other Costs related to online 6-12 STW program *
Only enter a numeric figure here.
Your answer
List the funding sources used to implement and continue the STW program. *
Required
Further Explanation on Cost Reporting
Enter any further explanation you wish to provide in addition to the numerical figures provided in the preceding boxes:
Your answer
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