SFEC APR Form_Blank_11.13.2023

INSTRUCTIONS
BEFORE YOU BEGIN, PLEASE READ THE DEAR COLLEAGUE LETTER, THE
INSTRUCTIONS FOR GRANT PERFORMANCE REPORTING (ED 524B), AND THE
STATEWIDE FAMILY ENGAGEMENT CENTERS ANNUAL PERFORMANCE REPORT
GUIDE.

PLEASE NOTE: DO NOT USE YOUR WEB BROWSER'S BACK BUTTON AT ANY POINT
WHILE COMPLETING THIS FORM. ONLY USE THE "NEXT" OR "PREV" BUTTONS AT
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AT A LATER TIME, THE FORM WILL SAVE YOUR POSITION AT THE MOST
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CLICKED THE "NEXT" BUTTON. YOU WILL NOT BE ABLE TO SAVE IN THE MIDDLE
OF A PAGE.
PUBLIC BURDEN STATEMENT
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. The valid OMB control number
for this information collection is 1810-0750.
Public reporting burden for this collection of information is estimated to average 30 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 obligation to respond
to this collection is required to obtain or retain benefit under 2 CFR 200.328.
If you have any comments concerning the accuracy of the time estimate, suggestions for improving this
individual collection, or if you have comments or concerns regarding the status of your individual form,
application or survey, please contact School Choice and Improvement Programs, Office of Elementary
and Secondary Education, U.S. Department of Education, 400 Maryland Avenue, SW, Washington, DC
20202, beth.yeh@ed.gov, (202) 205-5798 directly.

* 1. Which section would you like to work on first?
Cover Sheet

Partnerships

Executive Summary

Advisory Committee Members

Project Objectives

Local Evaluation

Participating School Districts and Schools

Budget

Cover Sheet
2. Please provide your PR/Award Number

3. What is the title of your project?

4. Grantee Name

5. Do you affirm that you are aware of federal and state data security and student privacy
regulations?
Yes
No
Not Applicable

6. Have you received your annual certification of Institutional Review Board (IRB) approval?

Yes
No
Not Applicable

7. What was the amount of your federal grant fund budget expenditures for the
current grant period?
Please do not include any non-numeric characters in your answer.

8. What was the amount of your federal grant fund budget expenditures for the
previous grant period?
Please do not include any non-numeric characters in your answer.

9. FIFTH-YEAR APR ONLY:
What was the amount of your federal grant fund budget expenditures for the entire
grant period?
Please do not include any non-numeric characters in your answer.

10. What was the amount of your non-federal grant fund budget expenditures for
the current grant period?
Please do not include any non-numeric characters in your answer.

11. What was the amount of your non-federal grant fund budget expenditures for
the previous grant period?
Please do not include any non-numeric characters in your answer.

12. FIFTH-YEAR APR ONLY:
What was the amount of your non-federal grant fund budget expenditures for
the entire grant period?
Please do not include any non-numeric characters in your answer.

13. Are you claiming indirect costs?
Yes
No

Cover Sheet Continued
14. Please indicate which of the following applies to your grant?
The grantee has an Indirect Cost Rate Agreement approved by the Federal Government
The grantee is not a State, local government, or Indian tribe, and is using the de minimus rate of 10% of
modified total direct costs (MTDC) in compliance with 2 CFR 200.414(f)
The grantee is funded under a Restricted Rate Program and is using a restricted indirect cost rate that
either: is included in its approved Indirect Cost Rate Agreement; or complies with 34 CFR 76.564(c)(2).
The grantee is funded under a Training Rate Program and: is recovering indirect cost using 8 percent of
MTDC in compliance with 34 CFR 75.562(c)(2); or is recovering indirect costs using its actual negotiated
indirect cost rate reflected in 9(b).

Cover Sheet Continued
15. What is the start date of the indirect cost agreement?

Date / Time

Date

MM/DD/YYYY

16. What is the end date of the indirect cost agreement?

Date / Time

Date

MM/DD/YYYY

17. What is the indirect cost rate?

Cover Sheet Continued
* 18. Please select the name of this section to confirm that you have completed it.
Cover Sheet

Cover Sheet Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 19. Which section would you like to work on or modify next?
Executive Summary

Advisory Committee Members

Project Objectives

Local Evaluation

Participating School Districts and Schools

Budget

Partnerships

None. I have completed all of the sections and am
ready to submit my responses.

Executive Summary
20. Please enter the number of parents participating in the specific type of SFEC activities
described in GPRA Measure 1 below, if that number is available.
Please note that for the purposes of this question parents can be counted more than once if
they participate in more than one of these types of activities, so long as they participate in
multiple distinct/different activities.
GPRA Measure 1: The number of parents who are participating in SFEC activities designed to
provide them with the information necessary to understand their annual school report cards
and other opportunities for engagement under section 1116 and other related ESEA
provisions.

21. Please enter the number of activities you have led under GPRA Measure 2, if that number
is available.
GPRA Measure 2: The number of high-impact activities or services provided to build a
statewide infrastructure for systemic family engagement that includes support for SEA- and
LEA-level leadership and capacity-building.
*Please see the APR Guide for a definition of "high-impact activities or services."

22. Please enter the number of activities you have led under GPRA Measure 3, if that number
is available.
GPRA Measure 3: The number of high-impact activities or services implemented to ensure
that parents are trained and can effectively engage in activities that will improve student
academic achievement, to include an understanding of how they can support learning in the
classroom with activities at home or outside the school generally, as well as how they can
participate in State and local decision-making processes.
*Please see the APR Guide for a definition of "high-impact activities or services."

23. GPRA MEASURE 4, NUMERATOR
Please enter the number of parents and families receiving SFEC services who report
having enhanced capacity to work with schools and service providers effectively in meeting
the academic and developmental needs of their children.
GPRA Measure 4: The percentage of parents and families receiving SFEC services who report
having enhanced capacity to work with schools and service providers effectively in meeting
the academic and developmental needs of their children.

24. GPRA MEASURE 4, DENOMINATOR
Please enter the number of parents and families receiving any type of SFEC services.

GPRA 5 AND GPRA 6 BELOW ARE FOR GRANTS AWARDED AFTER 2019

25. Please enter the number of activities you have led under GPRA Measure 5, if that number
is available.
GPRA Measure 5: The number of high-impact activities or services implemented to ensure
that LEA, school, and community-based organization staff are trained and can effectively
engage in activities with families that will improve student academic achievement, to include
an understanding of how they can support families with activities at home or outside the
school generally, as well as how they can help families participate in state and local decisionmaking processes.
*Please see the APR Guide for a definition of "high-impact activities or services."

26. GPRA MEASURE 6, NUMERATOR
Please enter the number of LEA and school staff receiving SFEC services who report having
enhanced capacity to work with families effectively in meeting the academic and
developmental needs of their children.
GPRA Measure 6: The percentage of LEA and school staff receiving SFEC services who report
having enhanced capacity to work with families effectively in meeting the academic and
developmental needs of their children.”

27. GPRA MEASURE 6, DENOMINATOR
Please enter the number of LEA and school staff receiving any type of SFEC services.

28. Required: Please upload supporting documentation.
Please upload a single Word or PDF document with a short summary of progress, a
description of work aligned with the GPRA measures, and an explanation of how you
calculated your GPRA measures. The file name should be in the following format: Grantee
Name_Reporting Period_Executive Summary Supporting Documentation.
In addition, you can also choose to include other supporting information in the same
document as your summary and GPRA measure explanations. Examples of these optional
additional types of documentation include attendance sheets at SFEC activities,
documentation of services provided to parents, and documentation of parents’ reports of
enhanced capacity.

No file chosen

29. Have you received points for any Competitive Preference Priorities (CPP)?
2018/2019 Grantee – Yes
2022 Grantee – Yes
2023 Grantee – Yes
No

Executive Summary: Competitive Preference Priorities - 2018 Grantees
30. Please discuss any progress on your evidence-based direct services (CPP1(a)).

31. Please discuss any progress on your evidence-based strategies for promoting literacy
(CPP1(b)).

32. Please discuss any progress on your educational choice efforts (CPP2).

Executive Summary: Competitive Preference Priorities - 2022 & 2023 Grantees
33. Please discuss any progress on your evidence-based activities (CPP1).

34. Please discuss any progress on conducting community asset-mapping and needs
assessments that may include an assessment of the extent to which students, including
subgroups of students, have become disengaged from learning, including students not
participating in in-person or remote instruction, and specific strategies for reengaging and
supporting students and their families (CPP2(a)).

35. Please discuss any progress on providing resources and supports to meet the basic,
fundamental, health and safety needs of students and educators (CPP2(b)).

36. Please discuss any progress on addressing students' social, emotional, mental health, and
academic needs through approaches that are inclusive with regard to race, ethnicity, culture,
language, and disability status (CPP2(c)).

37. Please discuss any progress on promoting educational equity and adequacy in resources
and opportunity for underserved students (CPP3(a)).

38. Please discuss any progress on examining the sources of inequity and inadequacy and
implementing responses (CPP3(b)).

39. Please discuss any progress on taking a systemic evidence-based approach to improving
outcomes for underserved students in the following priority area:
Establishing cross-agency partnerships, or community-based partnerships with local
nonprofit organizations, businesses, philanthropic organizations, or others, to meet family
well-being needs (CPP4).

Executive Summary Continued
* 40. Please select the name of this section to confirm that you have completed it.
Executive Summary

Executive Summary Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 41. Which section would you like to work on or modify next?

Cover Sheet

Advisory Committee Members

Project Objectives

Local Evaluation

Participating School Districts and Schools

Budget

Partnerships

None. I have completed all of the sections and am
ready to submit my responses.

Project Objective One
42. Please enter your first project objective

* 43. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

44. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

45. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

46. Do you have any additional project objectives to report?
Yes
No

Project Objective Two
47. Please enter your second project objective

* 48. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

49. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

50. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

51. Do you have any additional project objectives to report?
Yes
No

Project Objective Three
52. Please enter your third project objective

* 53. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

54. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

55. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

56. Do you have any additional project objectives to report?
Yes
No

Project Objective Four
57. Please enter your fourth project objective

* 58. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

59. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

60. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

61. Do you have any additional project objectives to report?
Yes
No

Project Objective Five
62. Please enter your fifth project objective

* 63. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

64. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

65. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

66. Do you have any additional project objectives to report?
Yes
No

Project Objective Six
67. Please enter your sixth project objective

* 68. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

69. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

70. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

71. Do you have any additional project objectives to report?
Yes
No

Project Objective Seven
72. Please enter your seventh project objective

* 73. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

74. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

75. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

76. Do you have any additional project objectives to report?
Yes
No

Project Objective Eight
77. Please enter your eighth project objective

* 78. Which GPRA measure(s) is/are this project objective aligned with?
Select all that apply
GPRA Measure 1
GPRA Measure 2
GPRA Measure 3
GPRA Measure 4
GPRA Measure 5
GPRA Measure 6
Not related to a GPRA measure

79. Please list the names/descriptions of each of the performance measures under this project
objective.
Performance Measure
1 (description)
Performance Measure
2 (description)
Performance Measure
3 (description)
Performance Measure
4 (description)
Performance Measure
5 (description)
Performance Measure
6 (description)
Performance Measure
7 (description)
Performance Measure
8 (description)
Performance Measure
9 (description)
Performance Measure
10 (description)

80. Please list all of the numeric targets and corresponding actual performance data for each
of the performance measures under this project objective.
If your target and actual data are numeric counts, then please provide the count. If your

target and actual data are percentages, then please provide the percentage.
For "N/A", please enter 999.
Target 1 (performance
measure 1)
Actual Performance
Data 1 (performance
measure 1)
Target 2 (performance
measure 2)
Actual Performance
Data 2 (performance
measure 2)
Target 3 (performance
measure 3)
Actual Performance
Data 3 (performance
measure 3)
Target 4 (performance
measure 4)
Actual Performance
Data 4 (performance
measure 4)
Target 5 (performance
measure 5)
Actual Performance
Data 5 (performance
measure 5)
Target 6 (performance
measure 6)
Actual Performance
Data 6 (performance
measure 6)
Target 7 (performance
measure 7)
Actual Performance
Data 7 (performance
measure 7)
Target 8 (performance
measure 8)
Actual Performance
Data 8 (performance
measure 8)
Target 9 (performance
measure 9)
Actual Performance
Data 9 (performance
measure 9)

Target 10
(performance measure
10)
Actual Performance
Data 10 (performance
measure 10)

Project Objectives Continued
81. Have you provided complete data on your performance measures for the current grant
year?
By "data," we mean performance measure targets and evidence for meeting those targets.
Yes
No
If you have not provided complete data, when will the data be available and submitted to the Department?
Please enter the date in the following format: MM/DD/YYYY.

Project Objectives Continued
* 82. Please select the name of this section to confirm that you have completed it.
Project Objectives

Project Objectives Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 83. Which section would you like to work on or modify next?

Cover Sheet

Advisory Committee Members

Executive Summary

Local Evaluation

Participating School Districts and Schools

Budget

Partnerships

None. I have completed all of the sections and am
ready to submit my responses.

Participating School Districts and Schools
84. Below, please enter the following information for each of the school districts you are
working with: District Name; NCES ID; Indication of whether you have an MOU with the
district.
District One Name
District One NCES ID
District One MOU?
Please enter "Yes" or
"No".
District Two Name
District Two NCES ID
District Two MOU?
Please enter "Yes" or
"No".
District Three Name
District Three NCES
ID
District Three MOU?
Please enter "Yes" or
"No".
District Four Name
District Four NCES ID
District Four MOU?
Please enter "Yes" or
"No".
District Five Name
District Five NCES ID
District Five MOU?
Please enter "Yes" or
"No".
District Six Name
District Six NCES ID
District Six MOU?
Please enter "Yes" or
"No".
District Seven Name
District Seven NCES
ID
District Seven MOU?
Please enter "Yes" or
"No".

District Eight Name
District Eight NCES ID
District Eight MOU?
Please enter "Yes" or
"No".
District Nine Name
District Nine NCES ID
District Nine MOU?
Please enter "Yes" or
"No".
District Ten Name
District Ten NCES ID
District Ten MOU?
Please enter "Yes" or
"No".

85. Do you have any additional participating districts to report?
Yes
No

Participating School Districts and Schools Continued
86. Below, please enter the following information for each of the school districts you are
working with: District Name; NCES ID; Indication of whether you have an MOU with the
district.
District Eleven Name
District Eleven NCES
ID
District Eleven MOU?
Please enter "Yes" or
"No".
District Twelve Name
District Twelve NCES
ID
District Twelve MOU?
Please enter "Yes" or
"No".
District Thirteen Name
District Thirteen
NCES ID
District Thirteen
MOU? Please enter
"Yes" or "No".
District Fourteen
Name
District Fourteen
NCES ID
District Fourteen
MOU? Please enter
"Yes" or "No".
District Fifteen Name
District Fifteen NCES
ID
District Fifteen MOU?
Please enter "Yes" or
"No".
District Sixteen Name
District Sixteen NCES
ID
District Sixteen MOU?
Please enter "Yes" or
"No".
District Seventeen
Name

District Seventeen
NCES ID
District Seventeen
MOU? Please enter
"Yes" or "No".
District Eighteen
Name
District Eighteen
NCES ID
District Eighteen
MOU? Please enter
"Yes" or "No".
District Nineteen
Name
District Nineteen
NCES ID
District Nineteen
MOU? Please enter
"Yes" or "No".
District Twenty Name
District Twenty NCES
ID
District Twenty MOU?
Please enter "Yes" or
"No".

87. Do you have any additional participating districts to report?
Yes
No

Participating School Districts and Schools Continued
88. Below, please enter the following information for each of the school districts you are
working with: District Name; NCES ID; Indication of whether you have an MOU with the
district.
District TwentyOne Name
District Twenty-One
NCES ID
District Twenty-One
MOU? Please enter
"Yes" or "No".
District Twenty-Two
Name
District Twenty-Two
NCES ID
District Twenty-Two
MOU? Please enter
"Yes" or "No".
District Twenty-Three
Name
District Twenty-Three
NCES ID
District Twenty-Three
MOU? Please enter
"Yes" or "No".
District Twenty-Four
Name
District Twenty-Four
NCES ID
District Twenty-Four
MOU? Please enter
"Yes" or "No".
District Twenty-Five
Name
District Twenty-Five
NCES ID
District Twenty-Five
MOU? Please enter
"Yes" or "No".
District Twenty-Six
Name
District Twenty-Six
NCES ID
District Twenty-Six
MOU? Please enter
"Yes" or "No".

District Twenty-Seven
Name
District Twenty-Seven
NCES ID
District Twenty-Seven
MOU? Please enter
"Yes" or "No".
District Twenty-Eight
Name
District Twenty-Eight
NCES ID
District Twenty-Eight
MOU? Please enter
"Yes" or "No".
District Twenty-Nine
Name
District Twenty-Nine
NCES ID
District Twenty-Nine
MOU? Please enter
"Yes" or "No".
District Thirty Name
District Thirty NCES
ID
District Thirty MOU?
Please enter "Yes" or
"No".

89. If you have additional participating districts to report, please upload either a single Word
or PDF document which lists all of the district names, their NCES IDs, and whether you have
an MOU with the district.

No file chosen

Participating School Districts and Schools Continued
90. Below, please enter the following information for each of the schools you are working
with: School Name; NCES ID; Indication of whether you have an MOU with the school.
School One Name
School One NCES ID
School One MOU?
Please enter "Yes" or
"No".
School Two Name
School Two NCES ID
School Two MOU?
Please enter "Yes" or
"No".
School Three Name
School Three NCES ID
School Three MOU?
Please enter "Yes" or
"No".
School Four Name
School Four NCES ID
School Four MOU?
Please enter "Yes" or
"No".
School Five Name
School Five NCES ID
School Five MOU?
Please enter "Yes" or
"No".
School Six Name
School Six NCES ID
School Six MOU?
Please enter "Yes" or
"No".
School Seven Name
School Seven NCES ID
School Seven MOU?
Please enter "Yes" or
"No".
School Eight Name

School Eight NCES ID
School Eight MOU?
Please enter "Yes" or
"No".
School Nine Name
School Nine NCES ID
School Nine MOU?
Please enter "Yes" or
"No".
School Ten Name
School Ten NCES ID
School Ten MOU?
Please enter "Yes" or
"No".

91. Do you have any additional participating schools to report?
Yes
No

Participating School Districts and Schools Continued
92. Below, please enter the following information for each of the school districts you are
working with: School Name; NCES ID; Indication of whether you have an MOU with
the school.
School Eleven Name
School Eleven NCES
ID
School Eleven MOU?
Please enter "Yes" or
"No".
School Twelve Name
School Twelve NCES
ID
School Twelve MOU?
Please enter "Yes" or
"No".
School Thirteen Name
School Thirteen NCES
ID
School Thirteen MOU?
Please enter "Yes" or
"No".
School Fourteen Name
School Fourteen NCES
ID
School Fourteen
MOU? Please enter
"Yes" or "No".
School Fifteen Name
School Fifteen NCES
ID
School Fifteen MOU?
Please enter "Yes" or
"No".
School Sixteen Name
School Sixteen NCES
ID
School Sixteen MOU?
Please enter "Yes" or
"No".
School Seventeen
Name
School Seventeen
NCES ID

School Seventeen
MOU? Please enter
"Yes" or "No".
School Eighteen Name
School Eighteen NCES
ID
School Eighteen
MOU? Please enter
"Yes" or "No".
School Nineteen Name
School Nineteen NCES
ID
School Nineteen
MOU? Please enter
"Yes" or "No".
School Twenty Name
School Twenty NCES
ID
School Twenty MOU?
Please enter "Yes" or
"No".

93. Do you have any additional participating schools to report?
Yes
No

Participating School Districts and Schools Continued
94. Below, please enter the following information for each of the school districts you are
working with: School Name; NCES ID; Indication of whether you have an MOU with
the school.
School TwentyOne Name
School Twenty-One
NCES ID
School Twenty-One
MOU? Please enter
"Yes" or "No".
School Twenty-Two
Name
School Twenty-Two
NCES ID
School Twenty-Two
MOU? Please enter
"Yes" or "No".
School Twenty-Three
Name
School Twenty-Three
NCES ID
School Twenty-Three
MOU? Please enter
"Yes" or "No".
School Twenty-Four
Name
School Twenty-Four
NCES ID
School Twenty-Four
MOU? Please enter
"Yes" or "No".
School Twenty-Five
Name
School Twenty-Five
NCES ID
School Twenty-Five
MOU? Please enter
"Yes" or "No".
School Twenty-Six
Name
School Twenty-Six
NCES ID
School Twenty-Six
MOU? Please enter
"Yes" or "No".

School Twenty-Seven
Name
School Twenty-Seven
NCES ID
School Twenty-Seven
MOU? Please enter
"Yes" or "No".
School Twenty-Eight
Name
School Twenty-Eight
NCES ID
School Twenty-Eight
MOU? Please enter
"Yes" or "No".
School Twenty-Nine
Name
School Twenty-Nine
NCES ID
School Twenty-Nine
MOU? Please enter
"Yes" or "No".
School Thirty Name
School Thirty NCES ID
School Thirty MOU?
Please enter "Yes" or
"No".

95. If you have additional participating schools to report, please upload either a single Word
or PDF document which lists all of the school names, their NCES IDs, and whether you have
an MOU with the school.

No file chosen

Participating School Districts and Schools Continued
96. Please combine all of the MOUs that you have signed with any and all school districts and
schools into one Word or PDF document. The resulting document should contain all of the
current MOUs with your district and school partners.
Then, please upload this Word or PDF document.
Please upload all MOUs in a single Word or PDF document. The file name should be in the
following format:
Grantee Name_Reporting Year_District-School MOUs

No file chosen

Participating School Districts and Schools Continued
* 97. Please select the name of this section to confirm that you have completed it.
Participating School Districts and Schools

Participating School Districts and Schools Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 98. Which section would you like to work on or modify next?

Cover Sheet

Advisory Committee Members

Executive Summary

Local Evaluation

Project Objectives

Budget

Partnerships

None. I have completed all of the sections and am
ready to submit my responses.

Partnership One
99. Please provide the name of your first partner.

100. What type of partner is this?

101. Is this partner also a subcontractor?
Yes
No

102. Do you have an MOU with this partner?
Yes
No

Partnership One Continued
103. Please upload the MOU.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Partner Name MOU

No file chosen

Partnership One Continued
104. What type of contribution did the partner make? Select all that apply.
Please see the APR Guide for examples of these types of contributions.
Service
Expertise
Funds
Materials
Please describe the partner's contribution in services, expertise, funds, and/or materials.

105. What was the monetary value of the partner's contribution?
Please do not include any non-numeric characters in your answer.
Direct
In-Kind

106. What performance measures did this partner's work relate to? Please list all the
measures that apply.

107. Do you have any additional partnerships to report?
Yes
No

Partnership Two
108. Please provide the name of your second partner.

109. What type of partner is this?

110. Is this partner also a subcontractor?
Yes
No

111. Do you have an MOU with this partner?
Yes
No

Partnership Two Continued
112. Please upload the MOU.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Partner Name MOU

No file chosen

Partnership Two Continued
113. What type of contribution did the partner make? Select all that apply.
Please see the APR Guide for examples of these types of contributions.
Service
Expertise
Funds
Materials
Please describe the partner's contribution in services, expertise, funds, and/or materials.

114. What was the monetary value of the partner's contribution?
Please do not include any non-numeric characters in your answer.
Direct
In-Kind

115. What performance measures did this partner's work relate to? Please list all the
measures that apply.

116. Do you have any additional partnerships to report?
Yes
No

Partnership Three
117. Please provide the name of your third partner.

118. What type of partner is this?

119. Is this partner also a subcontractor?
Yes
No

120. Do you have an MOU with this partner?
Yes
No

Partnership Three Continued
121. Please upload the MOU.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Partner Name MOU

No file chosen

Partnership Three Continued
122. What type of contribution did the partner make? Select all that apply.
Please see the APR Guide for examples of these types of contributions.
Service
Expertise
Funds
Materials
Please describe the partner's contribution in services, expertise, funds, and/or materials.

123. What was the monetary value of the partner's contribution?
Please do not include any non-numeric characters in your answer.
Direct
In-Kind

124. What performance measures did this partner's work relate to? Please list all the
measures that apply.

125. Do you have any additional partnerships to report?
Yes
No

Partnership Four
126. Please provide the name of your fourth partner.

127. What type of partner is this?

128. Is this partner also a subcontractor?
Yes
No

129. Do you have an MOU with this partner?
Yes
No

Partnership Four Continued
130. Please upload the MOU.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Partner Name MOU

No file chosen

Partnership Four Continued
131. What type of contribution did the partner make? Select all that apply.
Please see the APR Guide for examples of these types of contributions.
Service
Expertise
Funds
Materials
Please describe the partner's contribution in services, expertise, funds, and/or materials.

132. What was the monetary value of the partner's contribution?
Please do not include any non-numeric characters in your answer.
Direct
In-Kind

133. What performance measures did this partner's work relate to? Please list all the
measures that apply.

134. Do you have any additional partnerships to report?
Yes
No

Partnership Five
135. Please provide the name of your fifth partner.

136. What type of partner is this?

137. Is this partner also a subcontractor?
Yes
No

138. Do you have an MOU with this partner?
Yes
No

Partnership Five Continued
139. Please upload the MOU.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Partner Name MOU

No file chosen

Partnership Five Continued
140. What type of contribution did the partner make? Select all that apply.
Please see the APR Guide for examples of these types of contributions.
Service
Expertise
Funds
Materials
Please describe the partner's contribution in services, expertise, funds, and/or materials.

141. What was the monetary value of the partner's contribution?
Please do not include any non-numeric characters in your answer.
Direct
In-Kind

142. What performance measures did this partner's work relate to? Please list all the
measures that apply.

143. If you have additional partners to report, please upload a Word or PDF document which
provides an answer to each question on the previous four survey pages for each one of your
additional partners.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Period_Additional Partnership Information

No file chosen

Partnerships Continued
* 144. Please select the name of this section to confirm that you have completed it.
Partnerships

Partnerships Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 145. Which section would you like to work on or modify next?

Cover Sheet

Advisory Committee Members

Executive Summary

Local Evaluation

Project Objectives

Budget

Participating School Districts and Schools

None. I have completed all of the sections and am
ready to submit my responses.

Advisory Committee Members
146. How many members do you have on your advisory committee as of the end of the
reporting period?

147. How many advisory committee members belong to each of the following categories?
Each member can only be in one of these categories.
The sum of the categories must equal the number you entered for the previous
question.
Parent
representatives?
Education
professionals with
expertise in
disadvantaged
children
Representatives
of elementary and
secondary institutions,
including students
Representatives from
an SEA or an LEA
Community
partners (e.g. other
youth/family serving
non-profit)?
Members of the
business/corporate
sector?
Part of local
government?
Other

148. How many times did the advisory committee meet during the grant year?

Advisory Committee Members Continued
* 149. Please select the name of this section to confirm that you have completed it.
Advisory Committee Members

Advisory Committee Members Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 150. Which section would you like to work on or modify next?

Cover Sheet

Partnerships

Executive Summary

Local Evaluation

Project Objectives

Budget

Participating School Districts and Schools

None. I have completed all of the sections and am
ready to submit my responses.

Local Evaluation
151. Please provide the name of the individual or organization conducting your local
evaluation.

152. Please provide your local evaluator's email address.

153. Please provide your local evaluator's phone number (example: 1234567890).

154. Please upload the local evaluation plan as a Word document or PDF.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Year_Local Evaluation Plan

No file chosen

155. Does the local evaluation plan do the following? Select all that apply.
Please see the APR Guide manual for more details on these components of an evaluation plan.

Meet evidence of promise design requirements?
Align with your approved grant application?
Specify the activities, timelines and benchmarks for conducting the evaluation?
Include the five core components of an evaluation plan (description of study intervention, research
questions, measurement, analysis approach, and plan for disseminating and sharing findings).
Please elaborate if necessary

156. Has your SFEC identified the study sample?
Yes
No

Local Evaluation Continued
157. Has your SFEC selected or assigned treatment and comparison groups?
Yes
No

Local Evaluation Continued
158. If you developed a study report (interim or final) in the current grant year please upload
the report as a Word or PDF document.
Please upload a single Word or PDF document. The file name should be in the following
format: Grantee Name_Reporting Period_Study Report
Please note that at least one report demonstrating that the study meets evidence of promise
design specifications (which includes a description of the intervention, design, measures,
analysis, and findings) should be completed and uploaded during the grant cycle.
Please see the APR Guide for more details on the evidence of promise design specifications.

No file chosen

Local Evaluation Continued
* 159. Please select the name of this section to confirm that you have completed it.
Local Evaluation

Local Evaluation Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 160. Which section would you like to work on or modify next?

Cover Sheet

Partnerships

Executive Summary

Advisory Committee Members

Project Objectives

Budget

Participating School Districts and Schools

None. I have completed all of the sections and am
ready to submit my responses.

Budget
161. Please provide the dollar value of each of the following budget items for the current
grant year.
The dollar values should be entered without any symbols or commas. Please round all values
to the nearest whole number.
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Construction
Other
Total Direct Costs:
Sum of Personnel,
Fringe Benefits,
Travel, Equipment,
Supplies, Contractual,
Construction, and
Other
Indirect Costs
Training Stipends
Total Costs: Sum of
Total Direct Costs,
Indirect Costs, and
Training Stipends
Match
Funds to serve LEAs,
schools, and CBOs that
serve high
concentrations of
disadvantaged
students
Funds to establish or
expand TA for
evidence-based parent
education programs

162. For each of the budget items listed below, please provide a narrative justification for the
dollar value listed for that item in the previous question.
Personnel
Fringe Benefits
Training Stipends
Travel
Equipment
Supplies
Contractual
Construction
Other
Indirect Costs
Match
Funds to serve LEAs,
schools, and CBOs that
serve high
concentrations of
disadvantaged
students
Funds to establish or
expand TA for
evidence-based parent
education programs

Budget Continued
163. Do you expect to have any unexpended funds at the end of the current grant year?
Yes
No

Budget Continued
164. Please explain why you expect to have unexpended funds at the end of the current grant
year.

165. Please provide an estimate of the dollar value you expect to have in unexpended funds.
Please do not include any non-numeric characters in your answer.

166. Please describe how you plan to use the unexpended funds (carryover) in the next grant
year.

Budget Continued
167. Did you expend funds at the expected rate during the current grant year?
Yes
No

Budget Continued
168. Please explain why you did not expend funds at the expected rate during the current
grant year.

Budget Continued
169. Have funds been drawn down from the G5 system to pay for the budget expenditure
amounts reported in the following items on the ED 524B Cover Sheet?
Previous Grant Year - Federal Grant Funds; Non-Federal Funds (Match/Cost Share)
Current Grant Year - Federal Grant Funds; Non-Federal Funds (Match/Cost Share)
Yes
No

Budget Continued
170. Please explain why funds have not been drawn down from the G5 system.

Budget Continued
171. Under the matching requirement which applies to the second through fifth years of the
grant, what was your percentage match?
0

50

100

Budget Continued
* 172. Please select the name of this section to confirm that you have completed it.
Budget

Budget Continued
The complete form consists of the following eight sections:
Cover Sheet
Executive Summary
Project Objectives
Participating School Districts and Schools
Partnerships
Advisory Committee Members
Local Evaluation
Budget
You have completed the following sections:
{{ Q18 }}
{{ Q40 }}
{{ Q82 }}
{{ Q97 }}
{{ Q144 }}
{{ Q149 }}
{{ Q159 }}
{{ Q172 }}

* 173. Which section would you like to work on or modify next?

Cover Sheet

Partnerships

Executive Summary

Advisory Committee Members

Project Objectives

Local Evaluation

Participating School Districts and Schools

None. I have completed all of the sections and am
ready to submit my responses.

End of Form

THANK YOU FOR COMPLETING THE FORM.