HEP Performance Report Data Form

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Overview

Note
Block A
Block B
Block C
Block E2

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Sheet 1: Note

Sections of Annual Performance Report						Color Coding for Convenience
Sections	Type	Reporting File	Submitted As	Submitted To		Highlighted Color	Interpretation
Cover Sheet	Text/Signature	MS Word	PDF	Please send FINAL versions of ALL these sections (4 files in total) as attachments to OME in ONE email		Blue	Enter Numerical
Block A	Numerical	MS Excel	MS Excel			Yellow	Check Box
Block B	Numerical	MS Excel	MS Excel			Green	Enter Text
Block C	Numerical	MS Excel	MS Excel
Block D	Text	MS Word	MS Word
Block E	Text	E1 in MS Word	MS Word
	Numerical	E2 in MS Excel	MS Excel
Block F	Text	MS Word	MS Word
HEP GPRA 1 Doc. Form	Numerical/Text/Signature	MS Excel	PDF

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Sheet 2: Block A

Grantee Name:

Write here

Grant Year:

PR Number:

Write here

Reporting Period:

High School Equivalency Program

U.S. Department of Education

Annual Performance Report and Final Performance Report

Data Form

A.

HEP Project Statistics and Reporting for GPRA

Reporting Block, Item A1

A1.

Number of students served during the reporting period.

Y1

Y2

Y3

Y4

Y5

a.

Number funded to be served

b.

Number served in HEP HSE instruction (note: A1b1 + A1b2 should sum to equal A1b)

1

Number served who were new participants (first year in HEP) (subset of A1b)

0

0

0

0

0

2

Number served who were returning participants (subset of A1b)

Reporting Block, Item A2

A2.

Status at the end of the reporting period.

Y1

Y2

Y3

Y4

Y5

(Note: A2a-c should sum to equal the number reported in A1b(no. served)).

a.

Number of HSE attainers. (Obj. 1 National Target: 69%) (GPRA 1)

*Supporting documentation required. See instructions for Item A2. Ensure that you include the attainers in A1b3 in this count.

1

Number of HSE attainers who were new participants.

2

Number of HSE attainers who were returning participants.

3

Number of HSE attainers who passed the HSE assessment in the English Language.

4

Number of HSE attainers who passed the HSE assessment in the Spanish Language.

5

Number of HSE attainers who passed the HSE assessment in a language other than English or Spanish.

b.

Number of withdrawals

1

Number of withdrawals who were new participants.

2

Number of withdrawals who were returning participants.

c.

Number of persisters (came back to continue in the subsequent budget period; persisters

were enrolled in instructional services in the current reporting period but did not yet achieve

a HSE and have returned by APR due date of the subsequent budget period to continue

instructional services)

Your data input accuracy result

Good Job

Good Job

Good Job

Good Job

Good Job

Reporting Block, Item A3

A3.

Placement of HSE attainers (from question A2a above) from the current reporting period by

Y1

Y2

Y3

Y4

Y5

APR due date

a.

Unduplicated number of HSE attainers who entered postsecondary education or training

0

0

0

0

0

programs, upgraded employment, or the military (count each participant only once for this

for this row for an unduplicated count). (This amount should not be greater than the amount

in A2a above, and should equal the sum of A3a 1-3) (Obj. 2 National Target: 80%) (GPRA 2)

1

Number of HSE attainers who entered postsecondary education or training programs

2

Number of HSE attainers who obtained upgraded employment

3

Number of HSE attainers who entered the military

Reporting Block, Item A4

A4.

Follow-up on HSE attainers from the reporting period.

Y1

Y2

Y3

Y4

Y5

a.

Number of HSE attainers you were able to track for follow-up data

Reporting Block, Item A5

A5.

Time to completion for HSE attainers from question A2a above. (Note: A5a-c should sum to

Y1

Y2

Y3

Y4

Y5

equal the number reported in A2a.)

a.

Number of HSE attainers who got their HSE within one reporting period of your project

b.

Number of HSE attainers who got their HSE after more than one, but within two reporting

periods of your project

c.

Number of HSE attainers who got their HSE after more than two reporting periods of your project

Your data input accuracy result

Good Job

Good Job

Good Job

Good Job

Good Job

Reporting Block, Item A6

Performance Calculation Table

Current Performance Period

Annual Award Amount

GPRA Measure 1

0.00%

0.00%

0.00%

0.00%

0.00%

GPRA Measure 2

0.00%

0.00%

0.00%

0.00%

0.00%

Success efficiency ratio

$0

$0

$0

$0

$0

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Sheet 3: Block B

Grantee Name:

Write here

Grant Year:

PR Number:

Write here

Reporting Period:

B.

HEP Project Student Participant Information

Reporting Block, Item B1

B1

Instruction and services received by HEP HSE enrolled students during the reporting period.

Y1

Y2

Y3

Y4

Y5

a.

Total HSE instruction hours received by all HEP HSE enrolled students.₁

b.

Total HSE instruction hours received by HSE attainers.

c.

Total number of students receiving the following types of services: ₂

Instructional Support Services

Please indicate the number of students receiving instructional support services.

1

Tutoring

2

Mentoring or coaching

3

College transition services

4

Work training services

5

Job placement services

6

Counseling or guidance services

7

Transportation services/ financial support for transportation

8

Child care

9

Financial support

a. Tuition

b. Books and materials

c. Room and board

d. Stipends

e. Other financial support

10

Other support services: ______________________

Reporting Block, Item B2

B2

Characteristics of the HEP HSE enrolled students during the reporting period.

Y1

Y2

Y3

Y4

Y5

(Note: [B2a + B2b should equal the number reported in A1b] and

[B2c + B2d should equal the number reported in A1b]).

a.

Number of students who are male

b.

Number of students who are female

0

0

0

0

0

c.

Number of students who are 21 years old or younger

d.

Number of students who are over 21 years old

0

0

0

0

0

₁ The program office will take aggregated information and determine mean and median values for instructional hours within and

across program models. These data will be used to determine the most positive outcomes of program models. Proficiency level

will be established, if it is measured, through item C4a.

₂ Item B1c requires grantees to report whether or not a student has received a service in any quantity. The total hours received or

total number should not be reported here.

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Sheet 4: Block C

	Grantee Name:	Write here					Grant Year:
	PR Number:	Write here					Reporting Period:
C.	HEP Project Services Information
Reporting Block, Item C1
C1.	Project Model Characteristics during the Reporting Period
a.	Report the number of commuter students. (A commuter student is a student
	who does not live in IHE-funded housing.)
b.	Report the number of residential students. (A residential student is a student
	who lives in IHE-funded housing.)
c.	Does this project provide open enrollment or structured enrollment?
d.	In what languages are project services provided? (Check all that apply.)
e.	Is this project in a four-year or two-year educational institution, or in a non-profit organization?
f.	Is the project in an institution that uses a semester, quarter, or trimester academic calendar?
Reporting Block, Item C2
C2.	Project Personnel Characteristics during the Reporting Period
a.	Number of FTE teaching staff funded by the HEP grant to provide HSE instruction
b.	Number of FTE teaching staff contributing to the project, not funded by the HEP grant
c.	Number of FTE instructional support staff (tutors, coaches, mentors) funded by the HEP grant
	to provide HSE instruction
d.	Number of FTE instructional support staff contributing to the project, not funded by the
	HEP grant
Reporting Block, Item C3
C3.	Project HEP HSE Instructional Services Offered during the Reporting Period
a.	How frequently are HSE instructional services provided? Check the option that best describes
	the frequency of instructional services. If your program has both part time and full time
	options, please check the box that best describes the majority of your program students.
b.	Average length of instructional service per individual instructional session, in
	hours. (Provide the average length of instructional service that the majority of
	students participate in).
c.	Average length of instructional service per semester, in days. (Provide the average length									Days
	of instructional service that the majority of students participate in).
Reporting Block, Item C4
C4.	Project Student Assessment Information Related to this Reporting Period
a.	Does your project screen students prior to enrollment in HEP HSE instructional services
	services to establish whether they are above or below a proficiency threshold? (Check one)₃
	If “No,” skip to Section D.
1	If your project uses a screening or intake assessment to establish a proficiency threshold,
	what is your project proficiency threshold for accepting students into HEP HSE instructional								Scale/Standard Score _________
	services? (Only check “no assessment” if proficiency is determined without the use of a								_______
	formal assessment).
2	What kind of screening or intake assessment is used? (If not a published assessment,
	please check “Other,” provide the title and the program office with a copy of the assessment
	used).
									_________________
3	What was the average screening or intake MATH scale/standard score for this reporting									English speaking
	period?									Spanish speaking
4	What was the average screening or intake READING scale/standard score for this reporting									English speaking
	period?									Spanish speaking
b.	Which HSE assessment(s) does your project use?
									_________________
₃	The program office is asking if the project currently collects intake screening data;
	projects that do not collect intake data will not be required to do so.

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Sheet 5: Block E2

	Grantee Name:	Write here				Grant Year:
	PR Number:	Write here				Reporting Period:
E.	HEP Project Budget Information (see instructions)
E1	Report section E1 (narratives) in MS Word
E2	Report section E2 in the following Table and in the space below
2	Report in column (a) carryover funds in their correct category amounts from the previous budget period,
	in column (b) the recommended funds, by budget category, for the current budget period,
	in column (c), the total revised budget amounts (using your approved, revised budget as in your ED524 Form),
	and by adding the previous year's carryover in column (a) with the recommended amount in column (b), in each budget category, and
	in column (d), your project’s actual expenditures for this reporting period.
	Budget Categories				Proposed Expenditures			Actual Expenditures
					(a) Carryover from Previous Budget Period	(b) Recommended Amount	(c) Total Approved, Revised Budget Amounts	(d) Actual Expenditure Amounts
	1	Personnel					$0.00
	2	Fringe Benefit					$0.00
	3	Travel					$0.00
	4	Equipment					$0.00
	5	Supplies					$0.00
	6	Contractual					$0.00
	7	Construction					$0.00
	8	Other					$0.00
	9	Total Direct Costs (lines 1-8)			$0.00	$0.00	$0.00	$0.00
		Your data input accuracy result						Good Job
	10	Indirect Costs					$0.00
		Your data input accuracy result						Good Job
	11	Training Stipends					$0.00
	12	Total Amounts (lines 9-11)			$0.00	$0.00	$0.00	$0.00
	Your data input accuracy result					Good Job		Good Job
	Note: Remember to keep budget line items consistent.  For example, if you categorized student textbooks in
	the Stipend line item in your revised budget, payments for student textbooks must be categorized in the
	Stipend line item in the Actual Expenditures column.
1)	If the Revised Budget Amounts (Recommended + Carryover) and the Actual Expenditure Amounts are different,
	explain this difference.
	Write Here….