Student Re-engagement Peer Review Survey 2018 Thank you for your interest in serving as a peer reviewer for the Student Re-engagement grant. By completing this survey, you will help the office of Competitive Grants and Awards ensure that qualified reviewers will be selected and assigned to review teams. To be considered as a peer reviewer, you must complete this survey. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Address Question Title * 4. Current Employer Question Title * 5. Cell Phone or Home Phone Question Title * 6. Work Phone Question Title * 7. Email Address Question Title * 8. Geographic Representation Urban Suburban Rural Question Title * 9. Geographic Region Central Mountains East Central North Central Northeast Northwest San Luis Valley South Central Southeast Southwest Seven Denver Metro Counties Question Title * 10. Current Role Please select only ONE of the following: Pre-K-6 Educator/Administrator 8-12th Grade Educator/Administrator BOCES Staff CDE Consultant (Specify Unit Below) Community-Based Mental Health Counselor or Treatment Provider Education Grant Manager Education Program Developer/Manager Facility School Educator/Interventionist/Administrator Local Agency/Service Provider to At-Risk Youth Researcher or Evaluator School District Administrator School-Based Attendance Advocate School-Based Student Support/Interventionist State Agency Program Manager (Specify Program Below) Other (please specify) Question Title * 11. Identify up to 3 areas of expertise which apply to you. Alternative education Dropout prevention and intervention services Dropout outreach and recovery approaches Data Reporting/Reporting in General Postsecondary and workforce readiness supports Evaluation/Data Analysis Fiscal Management/Budget Planning Grant Management Safe and welcoming school climate strategies Credit accrual and credit recovery Program Management Contextualized learning Early warning systems School attendance strategies Student and family engagement strategies Student transitions Other (please specify) Question Title * 12. Are you currently employed by an entity intending to submit, or that has submitted, a grant application in this competition? Yes No If yes, please briefly explain: Question Title * 13. Have you agreed to serve as an employee or consultant, or otherwise provide assistance or advice, on any project for which funding is being sought in an application that will be, or has been, submitted in this grant competition, or have you been offered the opportunity to do so and not yet accepted or declined, based on whether a grant is awarded? Yes No If yes, please briefly explain: Question Title * 14. Will your financial interests be affected by the outcome of this grant competition? Yes No If yes, please briefly explain: Question Title * 15. Did you help prepare, or do you plan on helping to prepare, one or more applications that will be submitted in this competition, even if you do not have a financial interest in the outcome of the competition? Yes No If yes, please briefly explain: Question Title * 16. The review requires an approximate 25 hour commitment (not full time), including the time to read and score grant proposals between Friday, Feb. - Sunday, March 10, 2019, and attendance at the in-person review from 8 am - 5 pm on Monday, March 11, 2019. I am able to commit to this time frame. Not available for these dates, but interested. If not available, please briefly explain: Next