The five states in the Regional Educational Laboratory (REL) Northwest Region have many rural schools that have been designated as in need of improvement. And all five states had rural schools in the first cohort of federal School Improvement Grant (SIG) recipients. To address school improvement, the majority of those schools implemented the transformation model, which requires strategies related to improving instruction, ensuring high-quality staff, and engaging families and communities. REL Northwest Region state and district leaders asked REL Northwest to conduct a study examining the extent to which rural schools across the nation implemented the transformation model, the challenges they experienced, and the technical assistance they received. This report provides information about rural schools using the transformation model. REL Northwest Region leaders may be able to use this study to inform future assistance for their rural schools in need of improvement.