Teacher Training Initiative District Application and Due Diligence Application Questions

Teacher Training Initiative (TTI) Local Education Agencies (LEA) Partnership Application

cfpb_teacher_training_initiative_form_FINAL3

Teacher Training Initiative District Application and Due Diligence Application Questions

OMB: 3170-0049

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DISTRICT APPLICATION

 Teacher Training Initiative

OMB No: 3170-XXXX
Expiration: XX/XX/20XX

The Consumer Financial Protection Bureau (CFPB) is seeking to partner
with local education agencies (LEAs) to design and implement a program
for training teachers in the area of financial education with the goal of
increasing schools’ ability to support youth financial capability.

The Teacher Training Initiative (TTI) will be designed
in partnership with the LEA to increase capacity
where there is existing demand for, or commitment
to, teaching personal finance in K-12 schools. If
the LEA has not selected a specific curriculum,
the teachers will be provided a curriculum
and resources for classroom application. Each
partnering LEA will participate in two training
years where teachers will receive training and
follow-up which may include access to participation
in a national financial education symposium and
access to a community of trained teachers through
social media.

Consumer Financial
Protection Bureau

Interested local education agencies (LEAs)
are invited to submit a response to the District
Application. All responses must be submitted
in writing, via email to Kathleen Floyd at
[email protected] by, 5:00 pm EST.
No phone inquiries will be accepted.

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TEACHER TRAINING INITIATIVE

General information

1

Local Education
Agency (LEA)
identification
Information

LOCAL EDUCATION AGENCY (LEA) NAME

STREET

CITY

STATE

ZIP CODE

SUPERINTENDENT

EMAIL

2

Contact person
We’ll use this
information to contact
you about the status of
your application.

PHONE NUMBER

FIRST NAME

LAST NAME

TITLE

DEPARTMENT

PHONE NUMBER

EMAIL

3

Additional
information

Grades included in LEA

SUFFIX

K

2nd

4th

6th

8th

10th

1st

3rd

5th

7th

9th

11th

Number of schools
in LEA

Number of
students in LEA

Number of Title I
schools in LEA

Number of
teachers in LEA

Percentage of total
student population
on free or reduced
lunch

Anticipated number
of teachers who
would receive
financial literacy
training

Consumer Financial
Protection Bureau

12th

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TEACHER TRAINING INITIATIVE

Financial education

4

Please indicate
if your LEA has a
financial literacy
requirement as
evidenced by:

Personal finance instruction is a high school graduation requirement either as a
standalone course or as part of another course that is required.
State personal finance standards have been completed and your LEA is required
to implement the standards.
Student testing of personal finance concepts is required.
Other

5

Is a financial
education
component
included in your
curriculum for
the 2014-2015
school year?

YES

6

What academic
department
manages the
financial education
instruction?

SOCIAL STUDIES

LANGUAGE ARTS

MATH

FAMILY AND CONSUMER
SCIENCE

7

For how many
years has your LEA
included some
form of financial
education in your
school curriculum?

8

If your LEA is
not currently
providing financial
education as part
of the curriculum:

NO

If yes, what financial education curriculum/resources are you currently using?
In which grades?

OTHER

If more than one department manages financial
education instruction, please indicate this.

# OF YEARS

Consumer Financial
Protection Bureau

YES
NO

In what year did you first
include financial education
in the curriculum?

YEAR

Has the senior management of your LEA engaged in
conversations about participating in financial education
during the last two years?

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TEACHER TRAINING INITIATIVE

Financial education (continued)

8

(continued)

Has your LEA engaged in
conversations about participating in
financial education during the last
two years with key stakeholders,
including:

THE SCHOOL BOARD

YES

NO

TEACHER’S UNION

YES

NO

PARENT ORGANIZATIONS

YES

NO

SENIOR ADMINISTRATION
(OF THE LEA)

YES

NO

Do you intend to provide letters
of support from any of the above
stakeholders? If so, please indicate
which ones:

THE SCHOOL BOARD
TEACHER’S UNION
PARENT ORGANIZATIONS
SENIOR ADMINISTRATION
(OF THE LEA)

Professional development

9

When does your
professional
development
usually take place?

check all that apply
AFTER SCHOOL

DURING THE SCHOOL DAY

DURING THE SUMMER

BEFORE SCHOOL

DURING A PROFESSIONAL
DEVELOPMENT DAY

OTHER

10

Has your LEA
worked with
external vendors
to provide teacher
professional
development in
the past?

If so, please describe a recent example.

11

Please explain
your plan for
recruiting
teachers for
the financial
education
teacher training.

Please note that we will require a minimum of 100 teachers in each of the two training years, more
if possible. (An exception to the 100 teacher minimum may be considered in cases of rural LEAs.)

Consumer Financial
Protection Bureau

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TEACHER TRAINING INITIATIVE

Implementation

12

Who will be
managing the
teacher training
for the LEA?

TITLE

EMAIL

DEPARTMENT

PHONE NUMBER

13

How will your
LEA ensure that
the teachers
follow through
with the
training?

14

What types of
technology are
available in your
LEA for both the
training and the
implementation
in the classroom?

15

Is it possible to
communicate
regularly with
teachers through
email, web, or
social media,
such as Facebook
or LinkedIn?

16

Does your LEA agree to work with the CFPB and the Vendor to develop a
plan for sustaining the program after the treatment years which may include
a train-the-trainer model?

Consumer Financial
Protection Bureau

YES

If no, how can we reach the teachers on a regular basis?

NO

YES
NO

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TEACHER TRAINING INITIATIVE

Evaluation
We would like some information about your ability to participate in the evaluation component of our program.
Please note that, under our contract, the vendor will be conducting an evaluation of the Teacher Training Initiative.
The vendor will not obtain any Personally Identifiable Information (PII) from any participant from the LEA.

17

Is your LEA willing to partner with CFPB to conduct tests of financial
education skills, with both students and teachers, at the onset of the
training, and after the training is concluded?

YES

18

Will your LEA allow the students and teachers to be surveyed about their
experiences participating in this program?

YES

19

Will your LEA agree to share information obtained during the evaluation process
with other LEAs, with financial education professionals, and with the public?

NO

NO

YES
NO

Please note again that no personally identifiable information will be obtained during the
program, or included in information shared later with other parties

20

Is your LEA willing to share knowledge of the curriculum implementation
and student achievement with other LEAs, and with professionals in the
financial education field, by participating in peer learning activities?

Consumer Financial
Protection Bureau

YES
NO

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TEACHER TRAINING INITIATIVE

Privacy Act Statement
5 U.S.C. 552(a)(e)(3)
The information you provide will be used to assess local education agencies (“LEA”) for participation in the
Consumer Financial Protection Bureau’s (“CFPB”) Teacher Training Initiative (“TTI”).
Information collected on behalf of the CFPB will be treated in accordance with the System of Records
Notice (“SORN”), CFPB.021 – Consumer Education and Engagement Records, 77 FR 60382. This information
will not be disclosed as outlined in the Routine Uses for the SORN, with the exception of disclosure to the
Bureau’s selected contractor for implementing the program. Direct identifying information, including
your contact information, will only be used to facilitate communication between the CFPB and your LEA
regarding participation in the TTI, and will be kept private except as required by law. However, the CFPB
may have information about LEAs, without personal identifiers publicly available as part of a report or similar
publications.
This collection of information is authorized by Pub. L. No. 111-203, Title X, Sections 1013 and 1022, codified
at 12 U.S.C. §§ 5493 and 5512.
Participation is voluntary, you are not required to provide any identifying information, and you may withdraw
participation at any time. However, if you do not include the requested information, the CFPB may not be able
to consider your LEA for participation in the TTI.

Paperwork Reduction Act
According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a
person is not required to respond to a collection of information unless it displays a valid OMB control number.
The OMB control number for this collection is 3170-XXXX. It expires on MM/DD/YYYY. The time required
to complete this information collection is estimated to average approximately 60 minutes per response.
Responding to this information collection is voluntary; however, a completed application is required for
an LEA to be considered for participation in the TTI. Comments regarding this collection of information,
including the estimated response time, suggestions for improving the usefulness of the information, or
suggestions for reducing the burden to respond to this collection should be submitted to Bureau at the
Consumer Financial Protection Bureau (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552,
or by email to [email protected].

Consumer Financial
Protection Bureau

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