Child Care Access Means Parents in School Program 2011-12 APR (MS Word)
Child Care Access Means Parents in School (CCAMPIS) Program
2011-12 Annual Performance Report Form
Section I- Identification – Project Identification, Certification and Warning
(This section is expandable. Enter text in the Gray box):
1. PR Award Number: P335A
2. Name and Address of Grantee Institution:
3. Name and Address of Project Director:
4. Project Director’s Contact Information
Telephone Numbers:
Fax Numbers:
E-mail Address:
5. Grantee Institution Status ((Double click box to enter response. Click on “Check” to enter response in appropriate box. Check one only)
2-year public institution 4-year public institution
2-year private institution 4-year private institution
(Enter text in the Gray box)
B. Certification: We certify that the performance report information reported and submitted on is readily verifiable. The information reported is accurate and complete to the best of our knowledge.
Printed Name of Project Director Printed Name of Certifying Official
________________________________ _______________________________ Signature Signature
________________________________ _______________________________
Date Date
C. Warning: Any person who knowingly makes a false statement or misrepresentation on this report is subject to penalties which may include fines, imprisonment, or both under the United States Criminal Code and 20 U.S.C. 1097. Further Federal funds or other benefits may be withheld under this program unless this report is completed and filed as required by existing law (20 USC 1231a) and regulations (34 CFR 75.590 and 75.720).
Authority: Public Law 102-325, as amended.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 7 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The valid OMB control number for this information collection is 1840-0763v.6. In accordance with Education Department General Administration Regualtion, § 80.40 Monitoring and reporting program performance, it is mandantory that grantees (shall) submit annual performance reports. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email ICDOCKETMGR@ed.gov and reference the OMB Control Number, 1840-0763v.6. Note: Please do not return the completed CCAMPIS APR to this address.
Participant — An eligible postsecondary student receiving CCAMPIS Program funded services. To be eligible to receive CCAMPIS Program funded services, a postsecondary student must be “eligible to receive a Federal Pell Grant for the fiscal year for which the determination is made.” See Section 419N (b)(7) of the HEOA of 2008. A participant is the Pell-eligible parent(s) of those children to whom you provide child care services. If you use CCAMPIS funds to pay salaries of child care providers/instructors, a participant is the Pell-eligible parent(s) of those children in the class(es) of the child care providers/instructors paid with CCAMPIS funds (Do not count as a participant those parent(s) who are not Pell-eligible.)
As a result of the Higher Education Opportunity Act of 2008 (HEOA), students enrolled in a graduate or first professional course of study and students in the United States for a temporary purpose are eligible to receive the benefits of CCAMPIS-supported projects. (See HEOA, Sec. 410(7)(B)(i)and (ii)).
Participant ID — The participant ID is the college or university identification number (NOT SOCIAL security NUMBERS) used at the institution to uniquely identify each participant. Use the same number for each participant each time he/she is reported (example: a student assigned as Participant ID #0678 must be reported as Participant ID #0678 on subsequent annual reports).
Race/Ethnicity — The seven categories set for participant ethnicity are American Indian or Alaska Native (AI), Asian (AS), Black or African American (B), Hispanic or Latino (H), Hawaiian or Other Pacific Islander (PI), White (W), and Two or More Races (TM).
Gender — The two categories set for the participant gender are male (M) and female (F).
Household status — The three categories set for the participants’ household status are Married (M), Not Married and Dependent on Parent(s) (D), or Not Married and Independent (I). An unmarried participant who lives with or is supported by a person(s) other than a parent(s) is considered not married and independent.
Pell Grant status — The two categories set for the participants’ Pell Grant status are Receiving Pell Grant (R) and Eligible but not receiving Pell Grant (E). Additionally students may be coded as Low Income Graduate Student (LIG ), or Low Income Foreign Student (LIF).
Academic Status — The registrations status of participating CCA MPIS student-parents. This may be Enrolled (E), Graduated (G), Transferred (T) or Withdrew (W).
CCAMPIS ParticipationStatus — Report whether or not the student-parent participated in the CCAMPIS program while enrolled at the institution or declined CCAMPIS participation at any point while enrolled. Participation status selections codes are: Enrolled Participating in CCAMPIS (EPC) or Enrolled but Declined CCAMPIS Participation (EDPC)
Non-participant —Individuals receiving child care services, but who is not supported with CCAMPIS Program funds. This may include other students, community members, faculty, staff, etc.
Years taken to transfer/completion — The number of years that a participant has taken to transfer (from a two-year institution to a four-year institution) or graduate (with a degree or certificate) from your Instituiton of Higher Educatoin (IHE) while receiving CCAMPIS funded services.
Degree/Certificate — The four categories for the participants’ degree/certificate are Certificate/Diploma (C), Associate’s (AA), Bachelor’s (BA), Teaching Credential (TC), MS (Masters Degree). Only fill in this column if the participant completed/graduated from your institution while receiving CCAMPIS services.
Number of hours of Child Care provided — Record the number of hours of child care paid for with CCAMPIS funds for each parent participant.
*Note: In the cases of dual-parents (married couples, shared parenting relationships), the child/ren should be counted for each student-parents independently. Child/ren and hours of child care are reported specific to each parent participant.
Number of children served — The number of the participants’ children who are receiving CCAMPIS Program funded services whether enrolled full- or part-time in any licensed child care delivery system on or off campus. Count each child only once.
INSTRUCTIONS: The 2011-12 report must also reflect data reported by the institution for the 2009-10 and 2010-2011 periods. Grantees funded in 2010 should begin the Section III report by reporting data in the appropriate 2010-2011 section. Complete and submit in an Excel format.
Definitions for selection choices for each column are found on Excel pages 3-4.
After selecting a report cell, an arrow will appear on the right. Left click on the arrow to see and make the appropriate selection choice.
Reporters must manually input data for the Participant Codes (college or university identification number used at the institution to uniquely identify each participant - NOT SOCIAL security NUMBERS), Years taken to transfer or completions, and Number of Children served.
If your IHE has two academic terms during an academic year (AY) – running fall through spring – fill in the information for the first term in the “Fall” column, and fill in information for the second term in the “Spring” column. Leave both the “Winter” and “Summer” columns blank.
If your IHE has three academic terms during an academic year (AY) – running fall through summer – fill in information for the first term of the academic year in the “Fall” column, fill in information for the second term in the “Spring” column, and fill in information for the third term in the “Summer” column. Leave the “Winter” column blank.
However, if you have four academic terms during an academic year (AY) – running fall through summer – fill in the information in the “Fall,” “Winter,” Spring” and “Summer” columns, accordingly.
Data on previous participants, from past report years, must be filled in and all of the information on new participants must also be completely filled in.
Code each participant using an E, G, T, or W for each academic term in which the participant received CCAMPIS Program services at any time during the term.
“E” designates a participant who completed the term without completing his/her studies, graduating, transferring, or withdrawing during the term or at the end of the term.
“G” designates a participant who earned a certificate/diploma, associate’s, bachelor’s, or teaching credential during or at the end of the term.
“T” designates a participant who transferred from your two-year IHE to a four-year IHE or from one four-year institution to another four-year institution during or at the end of the term.
“W” designates a participant who officially withdrew from your institution during the term.
Code each participant using an EPC or EDPC for each academic term in which the participant received CCAMPIS Program services at any time during the term.
“EPC” designates a participant that is enrolled at the instiutituion and an Enrolled Participating in CCAMPIS
“EDPC” designates a participant that is enrolled at the instiutituion; but, has declined CCAMPIS program participation.
Copy and complete additional Excel pages if necessary. Please submit Section III as a (electronic) Excel attachment.
Section III A: Participant Demographics, Attendance, Persistence and Graduation.
Use the Excel Report to complete and submit this section
Section III B– Participant Demographics, Attendance, Persistence and Graduation
INSTRUCTIONS: Enter responses to the following eight questions by clicking in the gray text box. (Data reported below should be reflective of data reported on the Excel report)
1
2
3
4
5
6
7
Certificate
D
Diploma (MS/MA)
8. Total Number of CCAMPIS student-parents that transferred from a 2-year institution to a 4-year institution in this report year:
C
W
Without Diploma (AA)
9. What was the average grade point of CCAMPIS student-parents enrolled at the institution during the report years:
Attained |
FY09-10 |
FY10-11 |
FY11-12 |
FY12-13 |
FY13-14 |
Certificate seeking students |
|
|
|
|
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Degree seeking CCAMPIS students |
|
|
|
|
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Graduate Degree seeking students |
|
|
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Section III C– Student Reported Data
INSTRUCTIONS: Enter responses to the following five questions by clicking in the gray text box. (Data below should be extracted from the institution’s CCAMPIS student-parent survey data)
1
2. The number of student-parents reporting they would not be able to enroll and/or persist at the institution without the CCAMPIS grant assistance.
E
3
4
C
Undergraduate Degree
G
5. During hours of CCAMPIS provided child care, CCAMPIS student-parents were able to (check all reported responses):
Attend Class
Take earlier classes
Take later classes
Have additional study time
Spend more time in the library/computer lab
Obtain tutoring assistance
Obtain advising or counseling support
Participate in group study projects or meetings
Other:
6. How significant was the CCAMPIS grant support in enabling the student-parent to complete his/her degree or certificate (checks the appropriate response and indicate the number of students selecting that response):
R
E
Important
H
N
Not helpful
Please enter any additional information on CCAMPIS student-parent’s academic outcomes for this APR year (FY10-11) or prior report year (FY09-10), below:
INSTRUCTIONS: Check all appropriate responses. Do not indicate number of participants using these services, simply check whether or not you provided these services either directly (Institution-run) or by contract with a third-party (Contracted). Double click in the gray box to enter a response. Click on “Check” to enter response in the appropriate box.
A. CCAMPIS Program Funded Services Provided for Participants
Check all that apply.
Type of Service Institution-run Contracted
1. Full-time child care services
2. Part-time child care services
3. Before-care services
4. After-care services
5. Evening services
6. Weekend Services
7. Summer Term Services
8. 24-hour Services
9. Emergency Services
10. Drop-in Services (hourly)
11. Parenting Classes
12. Seminars
13. Meetings
14. Other (specify):
B. Fee Schedule for Participants and Non-participants:
Check all that apply.
Participants Non-participants
1. Sliding Fee Scale
2. Free Child Care Services
3. Standard-set Fee
4. Partial Tuition/Scholarship for child
T
Total number of non-participants’ children served:
Section IV C. Project Services and Activities - Wait Lists –
INSTRUCTIONS: Enter responses to the following four questions by clicking in the gray text box.
Waiting list for child care services for CCAMPIS-eligible students:
1. Numbers of CCAMPIS-eligible student-parents and children on wait list at the beginning of the 2010-11 academic year by age groupings:
Toddlers
P
S
2. Numbers of CCAMPIS-eligible student-parents and children on wait list at the beginning of the 2011-12 academic year by age groupings:
Toddlers
P
S
3. Numbers of CCAMPIS-eligible student-parents and children on wait list at the beginning of the 2012-13 academic year by age groupings:
Toddlers
P
S
4. Numbers of CCAMPIS-eligible student-parents and children on wait list at the beginning of the 2013-14 academic year by age groupings:
Toddlers
P
S
Section IV D. Project Services and Activities - Early Childhood Education (ECE) Coordination–
INSTRUCTIONS: Enter responses to the questions below by clicking in the gray (expandable) text box.
D. In the gray text box provided below, please explain how the CCAMPIS Program funded child care services have coordinated with the Institution’s Early Childhood Education (ECE) program. (The ECE program refers to the institution’s academic program for college students seeking credit for course work involving ECE.) Please use an additional page (with the appropriate section header) to respond.
E. If the CCAMPIS Program does not coordinate with the institution’s ECE program, Please explain why.
Section V – Campus and Community Resources and Funding
$
A. Local/Community Funding: Total / Identify the resource(s):
$
B. State Funding: Total / Identify the resource(s):
$
C. Institutional Student Activity Fees: Total / Identify the resource(s):
$
D. Other fees: Total / Identify the resource(s):
$
E. Foundation grants: Total / Identify the resource(s):
F
$
$
G. In-kind contributions: Total / Identify the resource(s):
H. Below, explain how funds have been leveraged from the Institution’s and / or local resources to support child care activities for low-income (Pell grant-eligible/CCAMPIS Program-eligible) student-parents, and how the use of a sliding fee scale resulted in a high number of such students obtaining a postsecondary education:
I. If funds have not been leveraged from the institution and/or local resources, please provide a response in the text box below:
Section VI-A – Institution (Campus) Owned Child Care Services Accreditation and Licensing
INSTRUCTIONS: Please provide responses to accreditation and licensing queries about the instiution owned child care facilities used to support CCAMPIS student- parents with CCAMPIS funds. Enter responses by either clicking in the gray area to check the appropriate response or by entering text in the (expandable) text box. (To report additional facilities, copy Section IV-A and attach additional page(s) to this section of the APR.)
Campus-Based Child Care Program (institution-run, on-campus or owned and operated by the institution):
Is the CCAMPIS Program funded child care program accredited?
Yes No Facility Name:
2
mm/dd/year
mm/dd/year
b. Expiration date of accreditation
c. Accrediting Agency – Name and Address:
3. If the program is not accredited and accreditation is not being sought, please explain why in the text box below:
a. Are you in the process of obtaining accreditation?
Yes No
b. Check all the steps completed in accreditation process:
Self-Assessment
Applying for Candidacy
Candidacy Status
Awaiting an Accreditation Visit
Awaiting Renewal Visit
Awaiting Commission Decision
D
mm/dd/year
c. Estimated date accreditation is expected:
d. Accrediting Agency – Name and Address:
4. If this is a new child care program (less than 3 years established), detail the actions taken, including a timeline to achieve the goals set forth in the application, in the text box below.
5
mm/dd/year
a
mm/dd/year
b. Expiration date of lincensing
c. Licensing Agency – Name and Address:
Section VI-B Contracted-Child Care Services Accreditation and Licensing
INSTRUCTIONS: Please provide responses to the accreditation and licensing queries about the contracted child care facilities, or programs used to support CCAMPIS student-parents with CCAMPIS funds. Enter responses by either clicking in the gray area to check the appropriate response or by entering text in the (expandable) text box. (To report additional facilities, copy Section IV-B and attach additional page(s) to this section of the APR.)
Contracted-Child Care Program:
Is the CCAMPIS Program funded contracted-child care program accredited?
Yes No Facility Name:
2
mm/dd/year
mm/dd/year
b. Expiration date of accreditation
c. Accrediting Agency – Name and Address
3. If the program is not accredited:
a. Are you in the process of obtaining accreditation?
Yes No
b. Check all the steps completed in accreditation process:
Self-Assessment
Applying for Candidacy
Candidacy Status
Awaiting an Accreditation Visit
Awaiting Renewal Visit
mm/dd/year
Deferred
c. Estimated date accreditation is expected:
d. Accrediting Agency – Name and Address:
4. If this is a new child care program (less than 3 years established), detail the actions taken, including a timeline to achieve the goals set forth in the application:
5. Is the child care program and facility licensed by the State and local licensing agencies? Yes No
INSTRUCTIONS: Please provide responses to accreditations and licensing queries about home-child care providers used to support CCAMPIS student- parents with CCAMPIS funds. Enter responses to the questions below by either clicking in the gray to check the appropriate response or by entering text in the (expandable) text box. (To report additional facilities, using the section title as a header, attach additional pages to this section of the APR.)
Contracted-Home Child Care Program:
Is the CCAMPIS Program funded contracted-child care program accredited?
Yes No Name of Provider:
2
mm/dd/year
mm/dd/year
b. Expiration date of accreditation
c. Accrediting Agency – Name and Address:
3. If the provider is not accredited:
a. Is the provider in the process of obtaining accreditation?
Yes No
b. Check all the steps completed in accreditation process:
Self-Assessment
Applying for Candidacy
Candidacy Status
Awaiting an Accreditation Visit
Awaiting Renewal Visit
Awaiting Commission Decision
Deferred
c. Estimated date accreditation is expected:
d. Accrediting Agency – Name and Address:
4. If this is a new home child care program (less than 3 years established), detail the actions taken, including a timeline and mentoring provided to achieve the goals set forth in the application below:
5. Is the child care provider and home licensed by the State and local licensing agencies? Yes No
mm/dd/year
L
mm/dd/year
Lincensing Expriation Date
Name of the licensing Agency/ Agencies:
| File Type | application/msword |
| File Modified | 2012-07-16 |
| File Created | 2012-07-16 |