HEP Performance Report Data Form

---

Overview

Note
Block A
Block B
Block C
Block D
Block E & F

---

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 (2 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	Numerical/Text	MS Excel	MS Excel
	Block E	Numerical/Text	MS Excel	MS Excel
	Block F	Numerical/Text	MS Excel	MS Excel

---

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)

0

0

0

0

0

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

0

0

0

0

0

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

0

0

0

0

0

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

---

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

Educational and supportive services, and financial support 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

Counseling or guidance services

3

Other Educational or Supportive Services, including mentoring or coaching, college transition services, work training services, transportation, child care, and job placement services.

4

Financial support (Please indicate the number of students receiving financial support)

a. Room and board

b. Stipends

e. Other financial support, including tuition, books and materials.

---

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.	In what languages are project services provided? (Check all that apply.)
d.	Is this project in a four-year or two-year educational institution, or in a non-profit organization?
Reporting Block, Item C2
C2.	Project Student Assessment Information Related to this Reporting Period
a.	Which HSE assessment(s) does your project use?
									_________________

---

Sheet 5: Block D

	Grantee Name:	Write Here				Grant Year:
	PR Number:	Write Here				Reporting Period:
D.	CAMP Project Goals and Objectives
	Project Performnce Objective Information
	Section 1. Provide the Project Objective, perforamnce measure (Target and Actual Perforamnce Data) and explain the outcome (Include Qualitative Data, Data resulting from experimental Design, and Data Collection Information) (maximum 2500 words)
	Please insert the row in each green box, if you need more space.
	Section 2: Final Performance Report Only (This information covers the entire project period, or five years.) (maximum 2500 words).
	Grantees must answer each of the questions below:
	1. Utilizing the evaluation results, draw conclusions about the success of the project and/or its impact. Describe any unanticipated outcomes or benefits from the project and any barriers that may have been encountered.
	2. What would you recommend as advice to other educators that are interested in your project? How did the original project ideas change as a result of conducting the project?
	3. If applicable, describe your plans for continuing the project (sustainability; capacity building) and/or disseminating the project results.

---

Sheet 6: Block E & F

	Grantee Name:	Write here				Grant Year:
	PR Number:	Write here				Reporting Period:
E.	HEP Project Budget Information (see instructions)
E	Report section E in the following Table and in the space below
	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 ED524B 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)	Provide an explanation if you did not expend funds at the expected rate during the reporting period.
	Write Here….
F.	Additional Information (see instructions)
	Note: Do not include requests for budget revisions, supplemental funding or changes to your application’s activities in this performance report. See Section F of the APR Instructions for details on the type of information you may provide below.