Call for Peer Reviewers- 21st CCLC Grant Programs

1. Peer Review Application

The Oregon Department of Education is seeking qualified grant reviewers for its 21st Century Community Learning Centers (21st CCLC) competitive grant application process. We are seeking reviewers representing a wide variety of education-related stakeholders.

The ODE is committed to ensuring a fair, equitable, and transparent grant review process. As a potential grant reviewer, please read over the examples of possible conflicts of interest located on the 21st CCLC website to determine your eligibility to participate: http://www.oregon.gov/ode/schools-and-districts/grants/ESEA/21stCCLC/Pages/Grants-Guidance.aspx

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* 1. Address

Name

Address

City

State

ZIP Code

Email Address

Phone Number

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* 2. Do you have experience writing local, state, or federal grant applications?

Yes

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* 3. List the applications you have written.

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* 4. Do you have experience reviewing local, state, or federal grant applications?

Yes

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* 5. List the applications you have reviewed.

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* 6. Check the levels of experience you have in the areas listed below? Check all that apply.

Early childhood education

Elementary

Middle

High school

Post-secondary

Youth Development

Private sector/business/industry

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* 7. Select the combined number of years of experience in the areas selected above.

Zero

1-3 years

4-6 years

7-9 years

10 or more years

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* 8. Describe your experience with before school, after school and/or summer learning programs.

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* 9. Describe your knowledge in evidence-based research.

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* 10. Please check all that apply. I have experience or expertise in the following areas:

Grant management

Educational leadership

Title I programs

Reading/language arts instruction

Mathematics Instruction

Special Education

English Learner programs

Family engagement

Tutoring

Health/wellness programs

Mentoring

Art, music education

Family/financial/environmental literacy programs

Youth development

Gifted and Talented programs

Community based organizations

Fiscal reviews

Non-profit management

Private/ non-public schools

Faith based organizations

Entrepreneurship

Science instruction

Counseling/mental health

Character education

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* 11. Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to selection as a contracted reviewer for 21st CCLC grant applications, I understand that false or misleading information may lead to my disqualification or removal from the review panel.

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* 12. Commitment

I am making the commitment to attend all three days of application review and scoring (May 30, May 31 and June 1) at the ODE from 8:00 AM to 4:30 PM.

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* 13. Confidentiality

I understand that if this application leads to the selection as a contracted peer reviewer, I agree not to discuss the information, concepts and procedures contained In applications outside of the ODE during or after the review process and to discuss them only with the panel members and in the context of and under the procedures for application review. I will not contact the originator of any application under review concerning any aspects of its contents.