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21st Century Community Learning Centers Peer Reviewer Application 2026-2027
1.
Contact Information
Name (First and Last)
Address
City
State
ZIP/Postal Code
County
Email Address
Phone Number
2.
Are you able to attend a mandatory Peer Reviewer training on Friday, May 22, 2026 from 1:30pm - 2:30pm?
Yes
No
3.
Highest Degree Achieved
Highschool Diploma
Bachelor's Degree
Master's Degree
Doctoral Degree
4.
The grant team will select peer reviewers based upon both their professional and personal experiences as they relate to the goals, purposes, and needs of the 21st CCLC program. Please provide a brief overview of the experience and qualifications that you would bring to the Oklahoma 21st CCLC Peer Review Team.
(For example: K-12 educator/administrator, advanced graduate student in education, higher education faculty/administrator, parent, afterschool staff/leader, youth development professional)
5.
Have you previously served as a peer reviewer for the Oklahoma State Department of Education (OSDE) 21st CCLC grant program?
Yes
No
6.
Please list any potential conflicts of interest.
For example: Relationships with any schools or districts, organizations, or regions of the state that could impact the assignment of grant applications for your review.
7.
Please upload your most current professional resume, if available.
Choose File
No file chosen
8.
Please provide two professional references.
1) Name (First and Last)
Email
Phone (XXX-XXX-XXXX)
How do you know this person and for how long?
2) Name (First and Last)
Email
Phone (XXX-XXX-XXXX)
How do you know this person and for how long?
9.
Is there any additional information you would like for us to know as we consider your application to serve as a peer reviewer?
