Starbase Atlantis Pittsburgh


				Starbase Atlantis Pittsburgh

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SY 2006-07 Starbase Atlantis-Pittsburgh Application

—Submit online application to Starbase no later than 5:00 P.M. Friday April 28, 2006—

I. School Identification Data
School District Name:
Starbase Attendance Authorization Number:
School Name:
School (Street) Address:
School (City) Address:
School Phone Number:
School Website Address (URL):

Superintendent/Chief Education Officer's Name:
Superintendent/CEO's Phone Number (Direct):
Superintendent/CEO's Fax Number:
Superintendent/CEO's Email Address:

Principal's Name:
Principal's Phone Number (Direct):
Principal's Fax Number:
Principal's Email Address:

Secretary's Name:
Secretary's Phone Number:
Secretary's Fax Number:
Secretary's Email Address:

PTA President's Name:
PTA President's Phone Number:
PTA President's Fax Number:
PTA President's Email Address:

Technology Director's Name:
Technology Director's Phone Number:
Technology Director's Fax Number:
Technology Director's Email Address:

Names of 5th Grade Teachers Who Will Attend Starbase:
1.		2.
3.		4.
5.		6.
7.		8.
9.

Total number of 5th grade classes that you anticipate will be attending Starbase from this particular school during the 2006-07 school year.

Enter the racial data for this year’s (SY 2005-06) 4th grade class as a percentage of the total 4th grade population

% Caucasian
% African American
% Hispanic
% Asian
% other

(This information is reported to Congress as part of the general Starbase data collection process.)

II. General Policy (please note that these must be met):

A. Each applying school within a district must submit a separate application which is written/reviewed by both the Principal and the Superintendent/Chief Education Officer.

B. No more than two schools will be selected per school district.

C. One-way bus travel time can be no more than 60 minutes. Arrival time at and departure time from Starbase must permit 5 hours of daily instructional time.

D. In addition to the teacher of record, the school must send at least one additional responsible chaperone for each daily visit to Starbase.

E. The teacher attending Starbase from each school is responsible for the behavior and discipline of the students in their class.

I have read and understand the provisions of the general policy listed above. (click to check box)

III. School Data (used for scoring application):

A. Most recent 5th grade PSSA score distribution. Due to our timeline, this is likely your present 6th grade class’ scores from the last school year’s PSSA (when they were in 5th grade)

Perfomance Level	Math (% of Student Body)	Reading (% of Student Body)
Advanced
Proficient
Basic
Below Basic

Scoring is based on sum of “Basic” and “Below Basic” scores for math and reading. Once schools have been ranked by this score, a point or fraction of 1 point would be determined by their rank. E.g. a rank of 3rd highest total) of 25 applicants would be 25-(3rd-1)/25=23/25 or a score of 0.91. The school with the highest total percentage of “basic” and “below basic” will be ranked 1st and given a score of 25/25 or 1 point. Other applicants will be fraction of 1.

1 point maximum is possible. Your score is ___________

B. Scheduled arrival time at and departure time from Starbase (please remember the daily 5 hour instructional time requirement):

1. The time at which your bus will ARRIVE daily at Starbase, North Versailles is AM

2. The time at which your bus will DEPART daily from Starbase, North Versailles is PM

3. The calculated daily contact hours and minutes at Starbase is Hrs Minutes

Scoring is based on our mandate of 5 contact hours (300 minutes). Scoring is determined by the ratio of number of contact minutes divided by 300. Schools that provide 300 minutes will receive a score of (300/300) = 1 point; schools that provides 270 minutes will get (270/300) = 0.9 point.

1 point maximum is possible. Your score is ____________

C. Enter the percentage of this year's (SY 2005-06) 4th grade class that receives either free or reduced lunch: %

1 point for 100%, fraction of one for others i.e. 50% = 0.5 point

1 point maximum is possible. Your score is ___________

D. Priority is given to schools that have both written goals and a written, stated improvement strategy in both science and mathematics in their “School Improvement Plan.” The highest scores are given to schools where there is also an accountability component stating how achievement toward the science and mathematics goals is assessed. Our school…

1. Has a written goal(s) for SCIENCE improvement in our “School Improvement Plan”

Yes No

In the space below, identify your goals for SCIENCE improvement:

2. Has a written goal(s) for MATHEMATICS improvement in your “School Improvement Plan”

Yes No

In the space below, identify your goals for MATH improvement:

3. In the space below, briefly describe how your school is working towards achieving your MATH and SCIENCE improvement goals:

The above responses are evaluated according to the school’s level of commitment to science and mathematics program goals and their improvement strategy in science and mathematics with a maximum of 0.5 points for mathematics and 0.5 points for science.

1 point maximum is possible. Your score is _______

E. Starbase is seeking collaborative ideas and opportunities that if implemented, could help improve the science, mathematics, and technology experiences that students receive. In the space below, suggest how we may work more collaboratively with your school to improve students’ experiences in science, mathematics, and technology.

The above response will be evaluated based upon the quality of the collaborative ideas and opportunities with client schools that, if implemented, could help to improve the science, mathematics, and technology experiences students receive.

1 point maximum is possible. Your score is _______

Total Application Score is _______

The space below is provided for additional input or comments you may have:

—Submit online application to Starbase no later than 5:00 P.M. Friday April 28, 2006—