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Grantee Name: |
Write here |
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Grant Year: |
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PR Number: |
Write here |
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Reporting Period: |
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High School Equivalency Program |
U.S. Department of Education |
Annual Performance Report and Final Performance Report |
Data Form |
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A. |
HEP Project Statistics and Reporting for GPRA |
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Reporting Block, Item A1 |
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A1. |
Number of students served during the reporting period. |
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Y1 |
Y2 |
Y3 |
Y4 |
Y5 |
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a. |
Number funded to be served |
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b. |
Number served in HEP HSE instruction (note: A1b1 + A1b2 should sum to equal A1b) |
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1 |
Number served who were new participants (first year in HEP) (subset of A1b) |
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0 |
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2 |
Number served who were returning participants (subset of A1b) |
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Reporting Block, Item A2 |
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A2. |
Status at the end of the reporting period. |
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Y1 |
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Y3 |
Y4 |
Y5 |
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(Note: A2a-c should sum to equal the number reported in A1b(no. served)). |
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a. |
Number of HSE attainers. (Obj. 1 National Target: 69%) (GPRA 1) |
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*Supporting documentation required. See instructions for Item A2. |
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b. |
Number of withdrawals |
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c. |
Number of persisters (came back to continue in the subsequent budget period; persisters |
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were enrolled in instructional services in the current reporting period but did not yet achieve |
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a HSE and have returned by APR due date of the subsequent budget period to continue |
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instructional services) |
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Your data input accuracy result |
Good Job |
Good Job |
Good Job |
Good Job |
Good Job |
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Reporting Block, Item A3 |
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A3. |
Placement of HSE attainers (from question A2a above) from the current reporting period by |
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Y5 |
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APR due date |
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a. |
Unduplicated number of HSE attainers who entered postsecondary education or training |
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0 |
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0 |
0 |
0 |
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programs, upgraded employment, or the military (count each participant only once for this |
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for this row for an unduplicated count). (This amount should not be greater than the amount |
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in A2a above, and should equal the sum of A3a 1-3) (Obj. 2 National Target: 80%) (GPRA 2) |
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1 |
Number of HSE attainers who entered postsecondary education or training programs |
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2 |
Number of HSE attainers who obtained upgraded employment |
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3 |
Number of HSE attainers who entered the military |
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Reporting Block, Item A4 |
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A4. |
Follow-up on HSE attainers from the reporting period. |
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Y1 |
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Y5 |
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a. |
Number of HSE attainers you were able to track for follow-up data |
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Reporting Block, Item A5 |
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A5. |
Time to completion for HSE attainers from question A2a above. (Note: A5a-c should sum to |
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Y1 |
Y2 |
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equal the number reported in A2a.) |
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a. |
Number of HSE attainers who got their HSE within one reporting period of your project |
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b. |
Number of HSE attainers who got their HSE after more than one, but within two reporting |
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periods of your project |
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c. |
Number of HSE attainers who got their HSE after more than two reporting periods of your project |
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Your data input accuracy result |
Good Job |
Good Job |
Good Job |
Good Job |
Good Job |
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Performance Calculation Table |
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Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
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Annual Award Amount |
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GPRA Measure 1 |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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GPRA Measure 2 |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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Success efficiency ratio |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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Grantee Name: |
Write here |
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Grant Year: |
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PR Number: |
Write here |
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Reporting Period: |
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B. |
HEP Project Student Participant Information |
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Reporting Block, Item B1 |
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B1 |
Instruction and services received by HEP HSE enrolled students during the reporting period. |
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Y4 |
Y5 |
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a. |
Total HSE instruction hours received by all HEP HSE enrolled students.₁ |
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b. |
Total HSE instruction hours received by HSE attainers. |
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c. |
Total number of students receiving the following types of services: ₂ |
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Instructional Support Services |
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Please indicate the number of students receiving instructional support services. |
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1 |
Tutoring |
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2 |
Mentoring or coaching |
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3 |
College transition services |
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4 |
Work training services |
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5 |
Job placement services |
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6 |
Counseling or guidance services |
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7 |
Transportation services/ financial support for transportation |
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8 |
Child care |
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9 |
Financial support |
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a. Tuition |
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b. Books and materials |
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c. Room and board |
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d. Stipends |
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e. Other financial support |
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10 |
Other support services: |
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11 |
Other ______________________________________ |
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Reporting Block, Item B2 |
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B2 |
Characteristics of the HEP HSE enrolled students during the reporting period. |
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Y1 |
Y2 |
Y3 |
Y4 |
Y5 |
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(Note: [B2a + B2b should equal the number reported in A1b] and |
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[B2c + B2d should equal the number reported in A1b]). |
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a. |
Number of students who are male |
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b. |
Number of students who are female |
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0 |
0 |
0 |
0 |
0 |
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c. |
Number of students who are 25 years old or younger |
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d. |
Number of students who are over 25 years old |
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0 |
0 |
0 |
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0 |
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e. |
Does your project or institution screen students for English language |
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proficiency? If “No,” skip to question C1. Mark Y for yes, or N for no. |
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1 |
Number of students who enrolled during the reporting period and had English |
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as a second language needs as determined by a language assessment test. |
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₁ The program office will take aggregated information and determine mean and median values for instructional hours within and |
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across program models. These data will be used to determine the most positive outcomes of program models. Proficiency level |
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will be established, if it is measured, through item C4a. |
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₂ Item B1c requires grantees to report whether or not a student has received a service in any quantity. The total hours received or |
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total number should not be reported here. |
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Grantee Name: |
Write here |
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Grant Year: |
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PR Number: |
Write here |
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Reporting Period: |
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C. |
HEP Project Services Information |
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Reporting Block, Item C1 |
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C1. |
Project Model Characteristics during the Reporting Period |
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a. |
Report the number of commuter students. (A commuter student is a student |
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who does not live in IHE-funded housing.) |
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b. |
Report the number of residential students. (A residential student is a student |
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who lives in IHE-funded housing.) |
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c. |
Does this project provide open enrollment or structured enrollment? |
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d. |
In what languages are project services provided? (Check all that apply.) |
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e. |
Is this project in a four-year or two-year educational institution, or in a non-profit organization? |
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f. |
Is the project in an institution that uses a semester, quarter, or trimester academic calendar? |
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Reporting Block, Item C2 |
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C2. |
Project Personnel Characteristics during the Reporting Period |
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Number of FTE teaching staff funded by the HEP grant to provide HSE instruction |
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b. |
Number of FTE teaching staff contributing to the project, not funded by the HEP grant |
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c. |
Number of FTE instructional support staff (tutors, coaches, mentors) funded by the HEP grant |
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to provide HSE instruction |
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d. |
Number of FTE instructional support staff contributing to the project, not funded by the |
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HEP grant |
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Reporting Block, Item C3 |
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C3. |
Project HEP HSE Instructional Services Offered during the Reporting Period |
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How frequently are HSE instructional services provided? Check the option that best describes |
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the frequency of instructional services. If your program has both part time and full time |
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options, please check the box that best describes the majority of your program students. |
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b. |
Average length of instructional service per individual instructional session, in |
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hours. (Provide the average length of instructional service that the majority of |
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students participate in). |
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c. |
Average length of instructional service per semester, in days. (Provide the average length |
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Days |
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of instructional service that the majority of students participate in). |
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Reporting Block, Item C4 |
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C4. |
Project Student Assessment Information Related to this Reporting Period |
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a. |
Does your project screen students prior to enrollment in HEP HSE instructional services |
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services to establish whether they are above or below a proficiency threshold? (Check one)₃ |
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If “No,” skip to Section D. |
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1 |
If your project uses a screening or intake assessment to establish a proficiency threshold, |
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what is your project proficiency threshold for accepting students into HEP HSE instructional |
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Scale/Standard Score _________ |
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services? (Only check “no assessment” if proficiency is determined without the use of a |
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_______ |
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formal assessment). |
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2 |
What kind of screening or intake assessment is used? (If not a published assessment, |
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please check “Other,” provide the title and the program office with a copy of the assessment |
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used). |
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_________________ |
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3 |
What was the average screening or intake MATH scale/standard score for this reporting |
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English speaking |
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period? |
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Spanish speaking |
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4 |
What was the average screening or intake READING scale/standard score for this reporting |
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English speaking |
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period? |
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Spanish speaking |
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b. |
Which HSE assessment(s) does your project use? |
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_________________ |
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₃ |
The program office is asking if the project currently collects intake screening data; |
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projects that do not collect intake data will not be required to do so. |
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Grantee Name: |
Write here |
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Grant Year: |
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PR Number: |
Write here |
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Reporting Period: |
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E. |
HEP Project Budget Information (see instructions) |
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E1 |
Report section E1 (narratives) in MS Word |
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E2 |
Report section E2 in the following Table and in the space below |
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2 |
Using your approved budget as in your ED524 Form, report the exact category amounts for this APR reporting |
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period (budget period) in column (a) under the “Recommended Amounts from ED524”. |
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Report your carryover funds from the previous budget period in column (a) under the “Carryover”. |
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Report your project’s actual expenditures for this reporting period in column (b) under “Actual Expenditure Amounts”. |
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Budget Categories |
(a) |
(b) |
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Revised Budget Amounts |
Actual Expenditure Amounts |
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Recommended Amounts from ED524 |
Carryover |
Actual Expenditure Amounts |
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1 |
Personnel |
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2 |
Fringe Benefit |
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3 |
Travel |
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4 |
Equipment |
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5 |
Supplies |
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6 |
Contractual |
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7 |
Construction |
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8 |
Other |
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9 |
Total Direct Costs (lines 1-8) |
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$0.00 |
$0.00 |
$0.00 |
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10 |
Indirect Costs |
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11 |
Training Stipends |
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12 |
Total Amounts (lines 9-11) |
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$0.00 |
$0.00 |
$0.00 |
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Note: Remember to keep budget line items consistent. For example, if you categorized student textbooks in |
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the Stipend line item in your revised budget, payments for student textbooks must be categorized in the |
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Stipend line item in the Actual Expenditures column. |
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1) |
If the Revised Budget Amounts (Recommended + Carryover) and the Actual Expenditure Amounts are different, |
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explain this difference. |
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