Allocation 1 - Initial Allocation: $39,694. Application Part II version: 1.0 Total Indian student count: 216 Total student enrollment: 1,609

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Formula Grant Electronic Application System for Indian Education (EASIE Allocation 1 - Initial) School Year 2017-18 OMB #: 1810-0021 OMB Expiration Date: 02/29/2020 Type of applicant: LEA (Not part of a Consortium) Type of application: Regular formula grant program Applicant name: Camp Verde Unified School District Address: 410 Camp Lincoln Road City, State, Zip Camp Verde, AZ 86322 Applicant DUNS Number: 020707097 Applicant NCES Number: 0401600 Applicant PR Award number: S060A170742 Allocation 1 - Initial 2017-18 Allocation: $39,694 Grant award start date: July 01, 2017 12:00 AM Grant award end date: June 30, 2018 12:00 AM Application Part II version: 1.0 Total Indian student count: 216 Total student enrollment: 1,609 Participating LEAs: LEA name: Camp Verde Unified School District City, State: Camp Verde, AZ NCES number: 0401600 Grades offered: PK,K,1,2,3,4,5,6,7,8,9,10,11,12 Student enrollment: 1,609 Indian student count: 216 Increase of 10% or more: N Application Timeframe: Single-Year Current Application Cycle: Year 1 Of 1

2.2 Coordination of Service Page 2 of 7 2.2.1 Coordination of Services with Formula Grant Programs Programs (a) Is this Program Available? (b) Is this Program coordinated with Titile VII Services? Program Type Title I Yes Yes Federal Homeless Child and Youth No No Federal Title III: English Language Acquisition Yes No Federal School Improvement Grants No No Federal Rural and Low-Income School Program No No Federal Impact Aid Yes No Federal Migrant Education No No Federal 2.2.2.1 Description of Coordination of Services for American Indian/Alaska Native Students CVUSD's coordinated services consists of daily tutoring to all ar risk students at Camp verdrde Elementary and Camp Verde Middle School. Both schools are Title I school-wide and service at risk students through supplemental tutoring daily. JOM also operates on all CVUSD campuses and further supplement tutoring for the Native American students. After school tutoring and homeowrk club is also available. A high school level Yavapai Apache language class is being offered next year. We plan to continue offering the language and cultural class at the elementary and middle school level either afterschool or on Fridays. The younger classes depend on the cooperation of the YAN cultural center and the availability of the language teacher. 2.2.3 Coordination of Services Professional Development Staff Professional Development Opportunity Content All teachers and other school professionals Workshops/Sessions Use of Data/ Data-driven decision making 2.2.4.1-2.2.4.3 Dissemination and Use of Assessment Data Timeframe of Last Assessment(s) Conducted: School Year: 2017-18 Method of Dissemination to Indian Community and Parent Committee Public hearing for application Parent Committee meeting Within a written report Posted on website Other open meeting Sent home with student Radio Broadcast Newsletter How is LEA responding to findings of previous assessment(s)? Public Hearing Date : 2/28/2017 No changes in services/programs Modifications to services/programs at LEA level Please describe : Providing additional tutoring opportunities for students on Fridays Modification to services/programs within project Please describe :

Page 3 of 7 2.2.5.1 Description of Meaningful Collaboration with Tribes CVUSD has increased efforts to have meaninigful collaboration with the Yavapai Apache Tribe. In addition to working wiht YAN parents, we are working with the YAN Cultural Center ad the Yavapai Apache Nation. There has been an an open meeting with othe schoolgoverning board and the YAN Governing Council and YAN cultural Center employees. The YAN Chairwoman and CUVUSD staff including the Superintendent are working on apossible opporunity of a future building for joint use. However, we still struggle with getting turn out of Native American parents to parent meetings. We have hosted them at the school and on the reservation but, still have very poor turn out. We have caled Native parents to ask which times are best for meetings and still have small turn ot of parents.

2.3 Indian Education Project Description Page 4 of 7 2.3.1.1 Indian Education Formula Grant Objectives and Data Sources Objective: Increase knowledge of cultural identity and awareness Objective Target Grade Levels: Pre-K, Elementary school grades, Middle school grades, High school grades Services Provided Service Indian education, including language and history Documents DataSource Objective: Increase academic achievement Objective Target Grade Levels: Pre-K, Elementary school grades, Middle school grades, High school grades Services Provided Service Culturally-responsive academic support District benchmark assessment DataSource Objective: Increase Native American Language Instruction programs Objective Target Grade Levels: Elementary school grades, Middle school grades, High school grades Services Provided Service Indian education, including language and history Documents DataSource

2.4 Budget Page 5 of 7 2.4.1.0.1 Supplemental Information By Checking this box, I will ensure that the Indian Education formula grant funds will supplement and not supplant other funding for the education of Indian children, with the goal of providing culturally-responsive education to meet the academic needs of American Indian/Alaska Native students and to assist those students in meeting State achievement standards. See FAQs for guidance and examples. 2.4.9 Budget Summary Allocated Funds: $39,694 Total Admin %: 0.0% Budgeted Funds: $39,694 Unbudgeted Funds: $0 Total Admin Funds: $0 Waiver Applied For: Budget Category Status Category Subtotal % of Overall Allocation Supplemental Information Finished $0 0.0% Personnel Finished $39,694 100% Travel Finished $0 0.0% Equipment Finished $0 0.0% Supplies Finished $0 0.0% Contractual Finished $0 0.0% Other Finished $0 0.0% Indirect Costs Finished $0 0.00% Budget Total $39,694 100% 2.4.1.1 Budget-Personnel Type of Personnel # % of Time Admin Cost Prog. Cost Fringe Cost Total Project Director $0 Project Coordinator $0 Other:lanuguage teacher/liaison 1 100% $31,756 $7,938 $39,694 Category Totals 1 $0 $31,756 $7,938 $39,694 2.4.2.1 Budget-Travel Type of Travel Admin Cost Program Cost Totals In-District $0 $0 $0 Out of District $0 $0 $0 Professional Development $0 $0 $0 2.4.3.1 Budget-Equipment Item Admin Cost Program Cost Totals $0

2.4.4.1 Budget-Supplies Page 6 of 7 Item Admin Cost Program Cost Totals Direct Instructional Delivery $0 $0 Student Consumables $0 $0 Program Management $0 $0 2.4.5.1 Budget-Contractual Purpose Admin Cost Program Cost Totals Direct Instructional Delivery $0 $0 Student Evaluations $0 $0 2.4.6.1 Budget-Other Purpose Admin Cost Program Cost Totals Direct Instructional Delivery $0 Student Activities Related to Services $0 Professional Development $0 2.4.7.1 Budget-Indirect Costs Rate % 0.00% $0 Total 2.6 GEPA Section 427 and Comments Camp Verde High School will offer Yavapai and Apache languages available to all high school students as a language class. Currently, we are waiting on the Yavapai Apache Nation to certify a teacher that can teach this class. At the middle and elementary school ages, the disrict is planning to continue offering the language/culture class after school or during our enrichment Friday programs. The language teacher/laision will aslo aid in communications between YAn, YAN Cultural Center, Native American parents and the school district to continue to promote communication.

Page 7 of 7 I, the legal authorized representative, have read both program assurance forms, Standard Form 424B Assurances Non Construction Programs and Additional Program Assurances for 84.060 Indian Education Formula Grants, and agree to their provisions. NOTE: You do not need to sign and mail in program assurances to the program office. Checking the checkbox is equivalent to a signature. You should keep a signed copy on file for your project records. All of the required student forms (ED 506 Forms) are on file with the LEA and will be provided to the Office of Indian Education upon request. I certify that the Parent Committee participated in the development of the application submitted and approves the proposed application. I have uploaded the Parent Committee Approval form. I certify that I am an employee authorized to legally bind this entity, and that by accepting the award for the Indian Education Formula Grant Program, this grantee will comply with all program assurances, agrees to carry out the program and meet all applicable requirements described herein. I certify that, to the best of my knowledge, the information in this application is true, reliable, and valid and I understand that any false statement provided herein that I have made is subject to penalties under The False Claims Act, 18 U.S.C. 1001. Certified By: Debbie Witt Certified Date: Thursday, May 25, 2017, 1:43:37 PM Applicant Contact Name: Debbie Witt Applicant Contact E-mail: dwitt@campverdeschools.org Applicant Contact Title: Project Coordinator Applicant Contact Telephone: (928) 567-8028 User 1: Steve Hicks E-mail: shicks@cvusd.k12.az.us Title: Project Coordinator User 2: Debbie Witt E-mail: dwitt@campverdeschools.org Title: Project Coordinator If you have any questions regarding your SY 2017-18 EASIE Formula Grant application or need to report changes of EASIE system users for your LEA prior to the close of the application submission, review, and approval period (approximately July 1, 2017), please contact the Partner Support Center. PSC is available between 8:00 a.m. and 6:00 p.m., Eastern Time. PSC is closed on federal holidays. EDFacts Partner Support Center (PSC) Voice: 877-457-3336 (877-HLP-EDEN) Fax: 888-329-3336 (888-FAX-EDEN) E-mail: eden_oie@ed.gov Hearing impaired persons may contact the Partner Support Center via the Federal Relay Service: 800-877-0996 (Voice/TTY) / federalrelay@sprint.com. If you have questions or need to make changes to SY 2016-17 or prior grants or need information after July 1, 2017, please contact the Office of Indian Education. Office of Indian Education Telephone: 202-260-1454 E-mail: Indian.education@ed.gov