Community and Parent Involvement Carmen Vazquez-Gonzalez, Exec. Director, Gov. & Community Relations, Deadline: April 15, 2016 HB 5 Community and Student Engagement Campus Report Campus:_______________________ Principal: _______________________ Page 1 of 2 ACCEPTABLE: All Compliance indicators completed Metric Campus Level IndicatorRequirement Date Completed C_MD1ALL Parent & Family Liaison The campus has an active Parent & Family Liaison and liaison attends mandatory trainings (not required for ECCs and speciality campuses). C_MD2ALL Parent Information Events The campus provides at least two parent informational events per semester. C_MD3ALLParent Involvement Parents have been made aware of the campus Parent Involvement Policy. C_MD4ALL Parent Communication The school regularly uses at least three forms of communication to parents, such as newsletters, campus website, , PENS message, etc. C_MD5ALL District Parent Summit Attendance Campus meets District minimum requirement (7 parents) for attendance at District Parent Summit. C_MD6ALL District Parent Academy Attendance Campus meets District minimum requirement (7 parents) for attendance at District Parent Academies RECOGNIZED: 6 or more Recognized indicators completed Metric Campus Level IndicatorRequirement Date Completed RE_MD1ALLFamily Night The campus implements Family Night focused around core subjects. RE_MD2ALLParent RoomThe campus operates a Parent Room. RE_MD3ALLParentingThe campus implements program initiatives for fathers. RE_MD4ALL Community Involvement The campus has community member mentors. RE_MD5ALL Community Involvement The campus has community Reading Tutors/Reading Buddies. RE_MD6ALL Community Partnerships The campus partners with at least one community/non- profit entity per semester.

Community and Parent Involvement Carmen Vazquez-Gonzalez, Exec. Director, Gov. & Community Relations, Deadline: April 15, 2016 HB 5 Community and Student Engagement Campus Report Campus:_______________________ Principal: _______________________ Verified by: ___________________________________________ Title _________________________________ Date ___________________ Rating Verification – Final Campus Rating: Exemplary Recognized Acceptable Unacceptable Not Rated Campus Self Rating - Please Circle one: Exemplary Recognized Acceptable Unacceptable Not Rated For District Department Use Only Campus Coordinator/Department Chair Signature_________________________________________________ Date ____________________ Principal Signature__________________________________________________________________________ Date ____________________ Rev. 9/28/15 Page 2 of 2 RE_MD7ALLBusiness Partnerships The campus partners with at least one business entity per semester. RE_MD8ALL District Parent Summit Attendance The campus meets the District maximum requirement (10 parents) for attendance at District Parent Summit. RE_MD9ALL District Parent Academy Attendance The campus meets the District maximum requirement (10 parents) for attendance at District Parent Acadmies RE_MD10ALLCommunity FairsThe campus implements Community Fair / Health Fair. RE_MD11ALL Community Resources The campus implements events such as Food/Uniform Drives. RE_MD12ALL Parent Information or Training Events The campus offers additional Awareness/Informational Presentations or Training events EXEMPLARY: 1 or more Exemplary indicators completed Metric Campus Level IndicatorRequirement Date Completed EX_MD1ALLPTA/PTSA The campus must have an active PTA/PTSA which functions in a positive manner and is registered with Texas PTA (not required for ECCs); Early Childhood Educations Centers will successfully complete the Federal Parent Governance requirements. EX_MD2ALLCollege Focus Campus initiates activities/Family Nights focused on building a college-going culture

HB 5 Community and Student Engagement Campus Report Community and Parent Involvement Indicator: Campus: _________________ Principal: __________________ Campus Rating: __________________