ISBE/ParenTeach High School Parenting Education Pilot

Demographics

This short list of questions helps us better understand your high school's current initiatives and desires for implementation during this pilot.

Question Title

* 1. Applying high school

Point of Contact Name *

High School *

Address *

Address 2

City/Town *

State *

ZIP/Postal Code *

County *

Point of Contact Email *

Point of Contact Phone Number *

Question Title

* 2. I, as point of contact, agree to provide evidence that my high school administration, Board of Education, and participating teachers all have been notified (copy of emails is acceptable) that this ISBE pilot is voluntary and no information gathered can be used by ParenTeach, ISBE, nor the school for formal or informal evaluative data regarding student/teacher/ or school performance.

Yes

Question Title

* 3. District and/or health/wellness division curriculum leaders will need to authorize the adoption of this 10 day evidence-based curriculum during the FAll (Oct 1 - end of Nov) and Spring (Mar 1 - end of April) semesters. Do you believe that the final authorizers will support your high school's participation? Evidence of authorized adoption is due by the end of August 2020.

YES

Question Title

* 4. Have you identified and/or fully believe that you can coordinate with an existing high school health/wellness teacher to participate in both semesters during the 2020-2021 school year that also complies with any of their union contracts or previous employment agreements with your district?

Yes

Name of proposed Health/Wellness teacher

Question Title

* 5. According to the Illinois Risk and Reach Report, what overall risk is the county where this High School is located?

Low

Low-Moderate

High-Moderate

High

No data

Question Title

* 6. Is there an evidence-based parenting education curriculum currently in place to fulfill HB 4442 in the 2020-2021 school year?

YES

Name of curriculum if evidence-based.

Question Title

* 7. What data are being gathered regarding your students' SEL competence and performance? (Check all that apply)

Annually (e.g. IL 5 ESSENTIALS or similar)

Formative (@ unit, monthly, quarterly, semester levels)

None

Please describe additional SEL student initiatives currently in place at your HS.

Question Title

* 8. How does your high school identify and address student mental health needs?

Refer internally to student services/dean.

Refer externally to community mental health providers

Both internal and external supports provided.

Unknown

Please list name and contact information for at least 3 community based mental health providers that your High School refers to.

Question Title

* 9. How will your high school inform parents of sophomore health/wellness students regarding participation in this pilot program?

Question Title

Sample Letter

Question Title

* 10. Based on the e-learning design of this curriculum, please describe the current plans for student access to internet based learning for 2020-2021 sophomores (e.g. is high speed internet available to most, is there 1:1 capacity planned).

Question Title

* 11. With regard to the adjustments for learning required by COVID-19, please share student participation rates for the week of 5/4/2020?

Percentage of students participating in remote learning?

Percentage of students completing 100% of remote learning assignments?

Percentage of students participating in web based video classroom interactions?

Question Title

* 12. What plans are being considered to ensure effective remote learning for the duration of the pandemic?

Question Title

* 13. This pilot will require a signed memo of agreement that details rights and responsibilities of participation including authorized gathering of student and teacher participation data. The participating district will further agree that aggregated (non-identifying information) data can be shared by ParenTeach with evaluators. Which school administrator (please provide full name) is authorized to sign this type of memo of agreement.