Migrant High School Equivalency Program

**U.S. Department of Education**

**Annual Performance Report Form for XXXX-XX**

\[IDENTIFYING INFORMATION FROM GRANTEE\]

**Introduction**

The Migrant High School Equivalency Program (HEP) is intended to assist
migrant and seasonal farmworker students in obtaining the equivalent of
a high school diploma and, subsequently, to begin postsecondary
education, enter military service, or obtain employment. The legislation
that authorizes the HEP program, the Higher Education Act of 1965, as
amended, Title IV, Sec. 418A; 20 U.S.C*.* 1070d-2, and the Education
Department General Administrative Regulations (EDGAR), 34 CFR 75.253
require each of the funded projects to submit an annual performance
report demonstrating that substantial progress has been made towards
meeting the approved objectives of the project. In addition, grantees
are required to report on their progress toward meeting the performance
measures established for the ED grant program. This Annual Performance
Report is the tool designated by the Department for reporting.

The HEP GPRA indicators (program performance measures) are listed below:

**Objective 1 of 2:** An increasing percentage of HEP participants will
receive their General Educational Development (GED) diploma.

**Measure 1.1 of 1:** The percentage of High School Equivalency Program
(HEP) program exiters receiving a General Educational Development (GED)
diploma. (Desired direction: increase[^1])

**Calculation**: This measure is calculated by dividing the number of
GED attainers (the number of HEP GED eligible students who received a
GED certificate by the end of the budget period) by the total number
funded, as per the approved application by OME, MINUS the number of
persisters.

***Example:***

+-------+-----+-----+-------+-----+-------+--------+-------+------+
| **    | ##  |     |       | *   |       |        |       | **   |
| Grant | ### |     |       | *Ou |       |        |       | GPRA |
| Y     | ### |     |       | tgo |       |        |       | 1.1  |
| ear** |  In |     |       | ing |       |        |       | (Per |
|       | com |     |       | S   |       |        |       | cent |
|       | ing |     |       | tud |       |        |       | a    |
|       |  St |     |       | ent |       |        |       | ttai |
|       | ude |     |       | s** |       |        |       | ning |
|       | nts |     |       |     |       |        |       | a    |
|       |     |     |       |     |       |        |       | GE   |
|       |     |     |       |     |       |        |       | D)** |
+-------+-----+-----+-------+-----+-------+--------+-------+------+
|       | *   | *   | *     | *   | **GED | **W    | **    |      |
|       | *To | *Ne | *Retu | *To | A     | ithdra | Persi |      |
|       | tal | w** | rning | tal | ttain | wals** | sters |      |
|       | Fu  |     | from  | Fu  | ers** |        | (c    |      |
|       | nde |     | Pre   | nde |       |        | oming |      |
|       | d** |     | vious | d** |       |        | back  |      |
|       |     |     | Y     |     |       |        | in    |      |
|       |     |     | ear** |     |       |        | subse |      |
|       |     |     |       |     |       |        | quent |      |
|       |     |     |       |     |       |        | ye    |      |
|       |     |     |       |     |       |        | ar)** |      |
+-------+-----+-----+-------+-----+-------+--------+-------+------+
| Year  | 100 | 100 | 0     | 100 | 65    | 30     | 5     | 68%  |
| 1     |     |     |       |     |       |        |       |      |
+-------+-----+-----+-------+-----+-------+--------+-------+------+
| Year  | 100 | 95  | 5     | 100 | 70    | 25     | 5     | 74%  |
| 2     |     |     |       |     |       |        |       |      |
+-------+-----+-----+-------+-----+-------+--------+-------+------+

In this example, for grant year 1, the denominator equals 95 (100 total
funded minus 5 persisters). The numerator equals 65 (GED attainers), for
a "success rate" of 65/95 or 68 percent. For grant year 2, the
denominator equals 95 (100 total funded minus 5 persisters). The
numerator equals 70 (GED attainers), for a success rate of 70/95 or 74
percent.

**Objective 2 of 2:** An increasing percentage of HEP recipients of the
GED will enter postsecondary education programs, upgraded employment, or
the military.

**Measure 2.1 of 1:** The percentage of HEP GED recipients who enter
postsecondary education programs, upgraded employment, or the military.
(Desired direction: increase)

**Calculation:** This measure is calculated by dividing the number of
GED attainers who entered postsecondary education programs, upgraded
employment, or the military by the total number of GED attainers.

***Example:***

+---------+---------+-------------------------------+----------------+
| **Grant | **Total | **Entered Post-Secondary      | **GPRA 2.1     |
| Year**  | GED     | Education or**                | (Percent       |
|         | Atta    |                               | achieving      |
|         | iners** | **Upgraded Employment or      | placement)**   |
|         |         | Entered the Military**        |                |
+---------+---------+-------------------------------+----------------+
| Year 1  | 65      | 60                            | 92%            |
+---------+---------+-------------------------------+----------------+
| Year 2  | 70      | 50                            | 71%            |
+---------+---------+-------------------------------+----------------+

In this example, for grant year 1, data collected in the first quarter
of grant year 2 indicates that, of the 65 GED attainers, 60 either
entered post-secondary education, upgraded their employment, or entered
the military. (Note this is an unduplicated count.) The numerator is 60,
the number of GED attainers who entered postsecondary education
programs, upgraded employment, or the military. The denominator is 95,
(100 funded minus 5 persisters), for a placement of 60/65, or 92
percent. For grant year 2, in which there were 70 GED attainers, the
numerator equals 50, for a success rate of 50/70 or 71 percent.

**Efficiency Measure 1 of 2:** Project success efficiency ratios are
calculated as, per budget period, the number of GED attainers divided by
the total budget awarded for that budget period.

**Efficiency Measure 2 of 2:** Project services efficiency ratios are
calculated as, per budget period, the number of students served in HEP
GED instruction divided by the total budget awarded for that budget
period.

**Paperwork 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 [xxxx-xxxx]{.underline}. The
time required to complete this information collection is estimated to
average 40 hours per response, including the time to review
instructions, search existing data resources, gather the data needed,
and complete and review the information collection. If you have any
comments concerning the accuracy of the time estimate(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. If you have comments or concerns regarding
the status of your individual submission of this form, write directly
to: Migrant HEP program, U.S. Department of Education, 400 Maryland
Avenue, SW, Washington, D.C. 20202-4651.

**Instructions for Migrant HEP Annual Performance Report Form**

**For Annual Grant Performance Reports**: The due date is 90 days
following the end of the budget period. This report contains counts that
are specific to each budget period.

**For Final Grant Performance Reports:** The due date is 90 days
following the end of the budget period. Complete data on performance
measures for the final budget period must be submitted with the final
performance report. This report contains counts that are cumulative
across all budget periods.

This annual performance report form covers the reporting period from XXX
to XXX and must be completed and submitted by XXX. The revised annual
performance report (APR) information will be collected via an online
form accessible only to grantees.

If you have questions about how to complete this form, contact:

\[INSERT CONTACT NAME AND INFORMATION\].

This HEP performance report is divided into a **Cover Sheet** and the
following six sections:

**Section A -- HEP Project Statistics and Reporting for GPRA**

**Section B -- HEP Project Student Participant Information**

**Section C -- HEP Project Services Information**

**Section D -- HEP Project Goals and Objectives**

**Section E -- HEP Project Budget Information**

**Section F -- Additional Information**

**Data Utilization**

Together, these sections will be used to answer the following evaluation
questions decided upon by the program office:

1.  To what extent have program goals been accomplished? (Section A;
    mandatory GPRA reporting)

2.  What service models had the most positive outcomes? (Sections, B and
    C)

3.  What service models had the best efficiency ratios? (Sections C and
    E)

4.  What percentage of project goals was achieved (i.e., met or
    exceeded)? (Section D)

Findings from aggregated grantee reports, as they pertain to the above
stated evaluation questions, will be published for public record and for
program and grantee use in better understanding effective service models
and strategies.

5.  **Instructions for Cover Sheet**

Complete the Cover Sheet with the appropriate information. Instructions
for items 1, 3, 4 and 6 are included on the Cover Sheet. Instructions
for items 2 and 5 and items 7 through 11 are included in this
instruction sheet.

**Question 2. Grantee NCES ID Number**

**\-- Annual and Final Performance Reports:**

Please enter the current National Center for Education Statistics (NCES)
ID number of the grantee. Grantees that are State Educational Agencies
(SEA) should enter their state\'s FIPS (Federal Information Processing
Standards) code in item 2. Item 2 only applies to grantees that are
Institutions of Higher Education (IHE), SEAs, Local Educational Agencies
(LEA), public libraries, and public, charter, and private elementary or
secondary schools. Leave blank, if this item is not applicable.

Please go to the applicable website listed below to obtain the grantee's
NCES ID number or FIPS code. Depending on your organization type, this
number will range from 2 to 12 numeric digits.

-   IHEs (IPEDS ID); Public Libraries (Library ID); and Public, Charter
    and Private Schools (NCES School ID):
    <http://nces.ed.gov/globallocator>

-   LEAs (NCES District ID): <http://nces.ed.gov/ccd/districtsearch/>

-   SEAs (FIPS code): To obtain your state\'s FIPS code, please search
    on any public school district in your state at:
    <http://nces.ed.gov/ccd/districtsearch/>. The FIPS code is the first
    two digits of the NCES District ID number for any public school
    district in a state.

**Note:** Newly established organizations that do not have an NCES ID
number yet should leave item 2 blank. However, once the organization\'s
NCES ID number has been established, it must be entered on all future
submissions of this form.

**Question 5. Grantee Address**

**Instructions for Submitting Address Changes**

**\-- Annual and Final Performance Reports:**

If the address that is listed in Block 1 of your GAN has changed and you
are submitting a paper copy of this form, either submit the new address
in the Additional Information section of the Project Status Chart or
submit the change through e-Administration (annual performance reports
only), the administrative action function of e-Grants.

**Question 7. Reporting Period**

**\-- Annual Performance Reports:**

**Due Date:** Annual performance reports are due 90 days after the end
date of the current budget period. If you receive a no-cost time
extension from ED for the budget period, the final performance report is
due 90 days after the revised project period end date. Please follow
instructions from the program office regarding the specific due date of
the annual performance report for your grant.

This reporting period is aligned with the current budget period. The
start date for your current budget period may be found in Block 6 of the
GAN. Complete data on all measures are due with this performance report.

**\-- Final Performance Reports:**

**Due Date:** Final performance reports are due 90 days after the
expiration of the grant's project period. If you receive a no-cost time
extension from ED for the fifth year of this grant, the final
performance report is due 90 days after the revised project period end
date. This final performance report is separate from and in addition to
the APR for the fifth year of the project.

Please enter the start and end date for the final budget period of your
grant from Block 6 of the GAN. The reporting period for your final
performance report covers the entire project period (five year).
Complete data on all performance measures are due with this final
performance report.

**Question 8. Budget Expenditures \[Also See Section E\]**

**The budget expenditure information requested in items 8a. -- 8c. must
be completed by your Business Office.**

**Note: For the purposes of this report, the term budget expenditures
means allowable grant obligations incurred during the periods specified
below. (See EDGAR, 34 CFR 74.2; 75.703; 75.707; and 80.3, as
applicable.)**

**For budget expenditures made with Federal grant funds, you must
provide an explanation in Section B (Budget Information) of the Project
Status Chart, if you have not drawn down funds from the Grant
Administration and Payment System (GAPS) to pay for these budget
expenditures.**

**\--Annual Performance Reports:**

-   Report your actual budget expenditures for the entire previous
    budget period in item 8a. Please separate expenditures into Federal
    grant funds and non-Federal funds (match/cost-share) expended for
    the project during the entire previous budget period.

-   Note: If you are reporting on the first budget period of the
    project, leave item 8a. blank.

-   Report your actual budget expenditures for the current budget period
    to date (i.e., through 30 days before the due date of this report)
    in item 8b. Please separate expenditures into Federal grant funds
    and non-Federal funds (match/cost-share) expended for the project
    during the current budget period to date.

**\--Final Performance Reports:**

-   Report your actual budget expenditures for the entire previous
    budget period in item 8a. Please separate expenditures into Federal
    grant funds and non-Federal funds (match/cost-share) expended for
    the project during the entire previous budget period.

-   Report your actual budget expenditures for the entire final budget
    period in item 8b. Please separate expenditures into Federal grant
    funds and non-Federal funds (match/cost-share) expended for the
    project during the entire final budget period.

-   Report your actual budget expenditures for the entire project period
    (performance period) in item 8c. Please separate expenditures into
    Federal grant funds and non-Federal funds (match/cost-share)
    expended for the project during the entire project period. Your
    project period (performance period) start and end dates are found in
    Block 6 of the GAN.

**Question 9. Indirect Costs**

**The indirect cost information requested in Items 9a. -- 9d. must be
completed by your Business Office.**

**\--Annual and Final Performance Reports:**

-   Item 9a \-- Please check "yes" or "no" in item 9a. to indicate
    whether or not you are claiming indirect costs under this grant.

-   Item 9b. \-- If you checked "yes" in item 9a., please indicate in
    item 9b. whether or not your organization has an Indirect Cost Rate
    Agreement that was approved by the Federal government.

-   Item 9c. \-- If you checked "yes" in item 9b., please indicate in
    item 9c. the beginning and ending dates covered by the Indirect Cost
    Rate Agreement. In addition, please indicate whether ED or another
    Federal agency (Other) issued the approved agreement. If you check
    "Other," please specify the name of the Federal agency that issued
    the approved agreement. For final performance reports only, check
    the appropriate box to indicate

-   The type of indirect cost rate that you have -- Provisional, Final,
    or Other. If you check "Other," please specify the type of indirect
    cost rate.

-   Item 9d. -- For grants under Restricted Rate Programs (EDGAR, 34 CFR
    75.563), please indicate whether you are using a restricted indirect
    cost rate that is included on your approved Indirect Cost Rate
    Agreement or whether you are using a restricted indirect cost rate
    that complies with 34 CFR 76.564(c)(2). Note: State or Local
    government agencies may not use the provision for a restricted
    indirect cost rate specified in EDGAR, 34 CFR 76.564(c)(2). Check
    only one response. Leave blank, if this item is not applicable.

**Question 10. Annual Institutional Review Board (IRB) Certification**

**\--Annual Performance Reports Only:**

Annual certification is required if Attachment HS1, Continuing IRB
Reviews, was attached to the GAN.

Attach the IRB certification.

**Question 11. Certification**

**\--Annual and Final Performance Reports:**

**[The grantee's authorized representative must sign the certification
for this form]{.underline}**. The authorized representative is the
person who signed the grant application or has been officially
designated to sign this performance report. The Office of Migrant
Education should receive documentation indicating who the authorized
representatives are **and** whether changes have occurred since signing
of the grant application.

If the grantee has any known internal control weaknesses concerning data
quality (as disclosed through audits or other reviews), this information
must be disclosed under Section F (Additional Information) of the
Project Status Chart as well as the remedies taken to ensure the
accuracy, reliability, and completeness of the data.

**Instructions for Sections A and B**

Sections A and B contain columns for years one through five of the
project and for the final performance report. Fill in the column that
corresponds to the project year that is being reported. In year one,
this would be column Y1. In year two, this would be Y2, etc. Note that
successive annual performance reports will maintain prior year's data;
this data will be pre-populated by the program office for previous
years. Also, the final performance report figures, entered into column
F, will be cumulative counts of the prior five years.

Example:

In **year one** of a project funded to serve 100 total students per
year, data entry would look like:

  ------------------------------------ -------- -------- -------- -------- -------- -------
  ***Example***                        **Y1**   **Y2**   **Y3**   **Y4**   **Y5**   **F**

  a\. Number funded to be served       100                                          
  ------------------------------------ -------- -------- -------- -------- -------- -------

In **year two**, the APR should take the following format:

  ------------------------------------ -------- -------- -------- -------- -------- -------
  ***Example***                        **Y1**   **Y2**   **Y3**   **Y4**   **Y5**   **F**

  a\. Number funded to be served       100      100                                 
  ------------------------------------ -------- -------- -------- -------- -------- -------

The **final performance report** should take the following format:

  ------------------------------------ -------- -------- -------- -------- -------- -------
  ***Example***                        **Y1**   **Y2**   **Y3**   **Y4**   **Y5**   **F**

  a\. Number funded to be served       100      100      100      100      100      500
  ------------------------------------ -------- -------- -------- -------- -------- -------

**Instructions for Section A -- HEP Project Statistics and Reporting for
GPRA**

**Definitions**

+----------+---------+--------------------------------+---------------+
| **Va     | *       | **Definition and notes**       | **Period for  |
| riable** | *Calcul |                                | Compiling     |
|          | ation** |                                | Data**        |
+==========+=========+================================+===============+
| *        |         |                                |               |
| *Section |         |                                |               |
| A -- HEP |         |                                |               |
| Project  |         |                                |               |
| St       |         |                                |               |
| atistics |         |                                |               |
| and      |         |                                |               |
| R        |         |                                |               |
| eporting |         |                                |               |
| for      |         |                                |               |
| GPRA**   |         |                                |               |
+----------+---------+--------------------------------+---------------+
| Budget   | \--     | 12-month period of time        | \--           |
| Period   |         | beginning on the date found in |               |
|          |         | Block 6 of the GAN.            |               |
+----------+---------+--------------------------------+---------------+
| Number   | None.   | Number of participants         | Beginning of  |
| funded   |         | officially funded by the HEP   | budget        |
| to be    |         | grant to be enrolled in GED    | period.       |
| served   |         | instruction in your HEP        |               |
|          |         | project in this budget period. |               |
+----------+---------+--------------------------------+---------------+
| Number   | Cum     | The number of HEP GED eligible | End of budget |
| served   | ulative | students who completed intake  | period        |
| in HEP   | count.  | and were enrolled and          |               |
| GED      |         | attending HEP GED instruction  |               |
| ins      |         | for at least 12 hours of       |               |
| truction |         | instructional services in this |               |
|          |         | budget period.                 |               |
+----------+---------+--------------------------------+---------------+
| New      | Cum     | The number of HEP GED eligible | End of budget |
| par      | ulative | students who completed intake  | period.       |
| ticipant | count.  | and were enrolled and          |               |
|          |         | attending HEP GED instruction  |               |
|          |         | for at least 12 hours of       |               |
|          |         | instructional services in this |               |
|          |         | budget period who were **new** |               |
|          |         | to the project (i.e., not      |               |
|          |         | previously enrolled in HEP GED |               |
|          |         | instruction). (This is a       |               |
|          |         | subset of the number served.)  |               |
+----------+---------+--------------------------------+---------------+
| R        | Cum     | The number of HEP GED eligible | End of budget |
| eturning | ulative | students who completed intake  | period.       |
| par      | count.  | in any prior budget period but |               |
| ticipant |         | did not attain a GED at that   |               |
|          |         | time, and were enrolled and    |               |
|          |         | attending HEP GED instruction  |               |
|          |         | for at least 12 hours of       |               |
|          |         | instructional services in this |               |
|          |         | budget period. (This is a      |               |
|          |         | subset of the number served.)  |               |
+----------+---------+--------------------------------+---------------+
| GED      | Cum     | The number of HEP GED eligible | First quarter |
| a        | ulative | students who received a GED    | of the        |
| ttainers | count.  | certificate by the end of this | subsequent    |
|          |         | budget period.                 | budget period |
|          |         |                                | for           |
|          |         | Note: to best capture this     | completion of |
|          |         | data, the number of students   | the current   |
|          |         | who attained GEDs will be      | report.       |
|          |         | compiled and calculated in the |               |
|          |         | first of quarter of the        | For example:  |
|          |         | subsequent budget period. This | To report for |
|          |         | procedure will apply to all    | the budget    |
|          |         | counts for which **actual**    | period        |
|          |         | (as opposed to projected)      | running from  |
|          |         | attainment or placement data   | July 1, 2006  |
|          |         | is necessary.                  | to June 30,   |
|          |         |                                | 2007, compile |
|          |         |                                | data between  |
|          |         |                                | July 1, 2007  |
|          |         |                                | and September |
|          |         |                                | 30, 2007.     |
+----------+---------+--------------------------------+---------------+
| Wit      | Count.  | The number of HEP GED eligible | First quarter |
| hdrawals |         | students who completed intake  | of the        |
|          |         | and were enrolled and          | subsequent    |
|          |         | attending HEP GED instruction  | budget period |
|          |         | for at least 12 hours of       | for           |
|          |         | instructional services in this | completion of |
|          |         | budget period who left the HEP | the current   |
|          |         | GED program without completing | report.       |
|          |         | coursework, without attaining  |               |
|          |         | a GED, and without returning   | See example   |
|          |         | for instruction in the         | above.        |
|          |         | subsequent budget period. This |               |
|          |         | count also should include      |               |
|          |         | students who took the GED test |               |
|          |         | battery without completing     |               |
|          |         | coursework, regardless of      |               |
|          |         | success or failure on the test |               |
|          |         | battery.                       |               |
|          |         |                                |               |
|          |         | Students that complete the     |               |
|          |         | course of study but do not     |               |
|          |         | pass the GED and do not        |               |
|          |         | re-enroll should be counted in |               |
|          |         | "Course Completers".           |               |
+----------+---------+--------------------------------+---------------+
| Pe       | Count.  | The number of HEP GED eligible | First quarter |
| rsisters |         | students who completed intake  | of the        |
|          |         | and were enrolled and          | subsequent    |
|          |         | attending HEP GED instruction  | budget period |
|          |         | for at least 12 hours of       | for           |
|          |         | instructional services in this | completion of |
|          |         | budget period who did not      | the current   |
|          |         | attain a GED but who           | report.       |
|          |         | re-enrolled for continuing     |               |
|          |         | instructional services in      | See example   |
|          |         | support of a GED in the        | above.        |
|          |         | **subsequent** budget period.  |               |
+----------+---------+--------------------------------+---------------+
| Course   | Count.  | The number of HEP GED eligible | End of budget |
| Co       |         | students who completed intake  | period        |
| mpleters |         | and were enrolled and          |               |
|          |         | attending HEP GED instruction  |               |
|          |         | for at least 12 hours of       |               |
|          |         | instructional services in this |               |
|          |         | budget period who completed    |               |
|          |         | coursework but did **not**     |               |
|          |         | attain a GED during this       |               |
|          |         | budget period. This count also |               |
|          |         | should include students who    |               |
|          |         | complete the course of study,  |               |
|          |         | but do not attempt the GED     |               |
|          |         | test battery or do not pass    |               |
|          |         | the GED test battery.          |               |
+----------+---------+--------------------------------+---------------+
| P        | Undup   | Of those students who attained | First quarter |
| lacement | licated | a GED in this budget period,   | of the        |
| of GED   | count.  | the number who went on to      | subsequent    |
| a        |         | enter postsecondary education  | budget period |
| ttainers |         | programs, upgraded employment, | for           |
|          |         | or the military                | completion of |
|          |         |                                | the current   |
|          |         | In situations where students   | report.       |
|          |         | attain multiple placements,    |               |
|          |         | count each student **only      | See example   |
|          |         | once** for the total in        | above.        |
|          |         | question A3a to report an      |               |
|          |         | unduplicated count. The        |               |
|          |         | measure should be taken in the |               |
|          |         | first quarter following the    |               |
|          |         | program year in which          |               |
|          |         | participants received their    |               |
|          |         | GEDs, and should be based on   |               |
|          |         | **actual placement** and not   |               |
|          |         | on anticipated placement.      |               |
+----------+---------+--------------------------------+---------------+
| Upgraded | Count.  | For a student to have attained | First quarter |
| em       |         | upgraded employment, **at      | of the        |
| ployment |         | least one** of the following   | subsequent    |
|          |         | criteria must be met:          | budget period |
|          |         |                                | for           |
|          |         | 1.  Move to a job that is both | completion of |
|          |         |     full-time and salaried,    | the current   |
|          |         |     compared to job            | report.       |
|          |         |     immediately prior to       |               |
|          |         |     and/or during              | See example   |
|          |         |     instructional services.    | above.        |
|          |         |     This may be a job change   |               |
|          |         |     with the same employer or  |               |
|          |         |     a job with a new employer. |               |
|          |         |                                |               |
|          |         | **OR**                         |               |
|          |         |                                |               |
|          |         | 2.  Move to a job with         |               |
|          |         |     increased benefits, such   |               |
|          |         |     as healthcare, worker\'s   |               |
|          |         |     compensation, unemployment |               |
|          |         |     insurance, social          |               |
|          |         |     security, and vacation and |               |
|          |         |     sick leave, compared to    |               |
|          |         |     job immediately prior to   |               |
|          |         |     and/or during              |               |
|          |         |     instructional services.    |               |
|          |         |     This may be a job change   |               |
|          |         |     with the same employer or  |               |
|          |         |     a job with a new employer. |               |
|          |         |                                |               |
|          |         | **OR**                         |               |
|          |         |                                |               |
|          |         | 3.  Position upgrade with same |               |
|          |         |     employer, such as a move   |               |
|          |         |     to a supervisory position, |               |
|          |         |     compared to job at that    |               |
|          |         |     employer immediately prior |               |
|          |         |     to and/or during           |               |
|          |         |     instructional services.    |               |
|          |         |                                |               |
|          |         | **OR**                         |               |
|          |         |                                |               |
|          |         | 4.  Move to a new job with     |               |
|          |         |     predefined career ladder,  |               |
|          |         |     regardless of wage change  |               |
|          |         |     (e.g.. management trainee, |               |
|          |         |     formal apprenticeship),    |               |
|          |         |     compared to career ladder  |               |
|          |         |     options at job immediately |               |
|          |         |     prior to and/or during     |               |
|          |         |     instructional services.    |               |
|          |         |     This may be a job change   |               |
|          |         |     with the same employer or  |               |
|          |         |     a job with a new employer. |               |
|          |         |                                |               |
|          |         | **OR**                         |               |
|          |         |                                |               |
|          |         | 5.  Move to a job with higher  |               |
|          |         |     hourly wages compared to   |               |
|          |         |     hourly wages at job        |               |
|          |         |     immediately prior to       |               |
|          |         |     and/or during              |               |
|          |         |     instructional services.    |               |
|          |         |     This may be a job change   |               |
|          |         |     with the same employer or  |               |
|          |         |     a job with a new employer. |               |
|          |         |     This category also         |               |
|          |         |     accounts for students who  |               |
|          |         |     obtain a job where they    |               |
|          |         |     previously had been        |               |
|          |         |     unemployed.                |               |
+----------+---------+--------------------------------+---------------+

**Instructions for Section B -- HEP Project Student Participant
Information**

**Definitions**

+----------+---------+--------------------------------+---------------+
| **Va     | *       | **Definition and notes**       | **Period for  |
| riable** | *Calcul |                                | Compiling     |
|          | ation** |                                | Data**        |
+==========+=========+================================+===============+
| *        |         |                                |               |
| *Section |         |                                |               |
| B -- HEP |         |                                |               |
| Project  |         |                                |               |
| Student  |         |                                |               |
| Par      |         |                                |               |
| ticipant |         |                                |               |
| Infor    |         |                                |               |
| mation** |         |                                |               |
+----------+---------+--------------------------------+---------------+
| GED      | Average | Direct "treatment" services    | End of budget |
| ins      | (mean)  | leading toward attainment of a | period        |
| truction | hours   | GED.                           |               |
|          | and     |                                |               |
|          | minimum | Report the average hours and   |               |
|          | and     | range (minimum and maximum) of |               |
|          | m       | instructional services         |               |
|          | aximum. | attended by students           |               |
+----------+---------+--------------------------------+---------------+
| Support  | Average | Ancillary services provided in | End of budget |
| services | (mean)  | support of direct services,    | period        |
|          | hours   | such that the full benefit of  |               |
|          | and     | direct services might be       |               |
|          | minimum | realized.                      |               |
|          | and     |                                |               |
|          | m       | Report the average hours and   |               |
|          | aximum. | range (minimum and maximum) of |               |
|          |         | support services received by   |               |
|          |         | students, [where applicable    |               |
|          |         | and quantifiable.]{.underline} |               |
|          |         |                                |               |
|          |         | Examples: coaching, tutoring,  |               |
|          |         | transportation.                |               |
+----------+---------+--------------------------------+---------------+
| Adult    | Cum     | The number of students         | End of budget |
| Basic    | ulative | enrolled and served with at    | period.       |
| E        | count.  | least 12 hours of              |               |
| ducation |         | instructional services during  |               |
|          |         | this budget period who         |               |
|          |         | required Adult Basic Education |               |
|          |         | instruction (instruction in    |               |
|          |         | the basic skills below the     |               |
|          |         | high school level).            |               |
+----------+---------+--------------------------------+---------------+
| Edu      | Cum     | The number of students         | End of budget |
| cational | ulative | enrolled and served with at    | period.       |
| Imp      | count.  | least 12 hours of              |               |
| airments |         | instructional services during  |               |
|          |         | this budget period who had     |               |
|          |         | educational impairments, as    |               |
|          |         | verified through standardized  |               |
|          |         | assessments of special needs   |               |
|          |         | or learning disabilities.      |               |
+----------+---------+--------------------------------+---------------+
| English  | Cum     | The number of students         | End of budget |
| as a     | ulative | enrolled and served with at    | period.       |
| second   | count.  | least 12 hours of              |               |
| language |         | instructional services during  |               |
|          |         | this budget period who had     |               |
|          |         | English as a second language   |               |
|          |         | needs as determined by         |               |
|          |         | placement testing.             |               |
+----------+---------+--------------------------------+---------------+

**Instructions for Section C -- HEP Project Services Information**

**Definitions**

+----------+---------+--------------------------------+---------------+
| **Va     | *       | **Definition and notes**       | **Period for  |
| riable** | *Calcul |                                | Compiling     |
|          | ation** |                                | Data**        |
+==========+=========+================================+===============+
| *        |         |                                |               |
| *Section |         |                                |               |
| C -- HEP |         |                                |               |
| Project  |         |                                |               |
| Services |         |                                |               |
| Infor    |         |                                |               |
| mation** |         |                                |               |
+----------+---------+--------------------------------+---------------+
| Open     | Close   | Projects that are open         | End of budget |
| en       | ended   | enrollment allow continuous    | period.       |
| rollment |         | entry into instructional       |               |
|          |         | services (i.e., there is no    |               |
|          |         | cut date for student           |               |
|          |         | enrollment in order to enter a |               |
|          |         | course).                       |               |
+----------+---------+--------------------------------+---------------+
| St       | Close   | Projects that are structured   | End of budget |
| ructured | ended   | enrollment allow enrollment    | period.       |
| en       |         | for a defined period of time   |               |
| rollment |         | prior to the start of          |               |
|          |         | instructional services. After  |               |
|          |         | that defined period of time    |               |
|          |         | has expired, students must     |               |
|          |         | wait until the next semester   |               |
|          |         | or series of instructional     |               |
|          |         | services begins to participate |               |
|          |         | in services.                   |               |
+----------+---------+--------------------------------+---------------+
| Project  | Close   | The minimum grade-level        | End of budget |
| pro      | ended   | proficiency in reading and/or  | period.       |
| ficiency |         | reading comprehension at which |               |
| t        |         | new participants must perform  |               |
| hreshold |         | in order to enroll and         |               |
|          |         | participate in instructional   |               |
|          |         | services.                      |               |
+----------+---------+--------------------------------+---------------+
| Number   | Fu      | Number of FTE teaching staff   | End of budget |
| of FTE   | ll-time | (staff who provide direct      | period        |
| teaching | equ     | instruction) funded by the HEP |               |
| staff    | ivalent | grant. See FTE definition      |               |
|          | count   | below.                         |               |
|          | to one  |                                |               |
|          | decimal | Also report the total number   |               |
|          | place.  | of FTE teaching staff          |               |
|          |         | contributing to the project    |               |
|          |         | but not funded by the HEP      |               |
|          |         | grant.                         |               |
+----------+---------+--------------------------------+---------------+
| FTE      | De      | FTE is a measure equal to one  |               |
| (f       | termine | staff person working a         |               |
| ull-time | the FTE | full-time work schedule for    |               |
| equ      | for     | one year.                      |               |
| ivalent) | each    |                                |               |
| for      | t       | To calculate the total FTE:    |               |
| teaching | eaching |                                |               |
| staff    | staff   | For each teaching staff person |               |
| and      | person  | and instructional support      |               |
| instr    | and     | person, divide the total       |               |
| uctional | instru  | number of hours that employee  |               |
| support  | ctional | works on your HEP project each |               |
| staff    | support | year by the number of hours    |               |
|          | staff   | your organization considers    |               |
|          | person. | full time for one year. Sum    |               |
|          | Sum     | across all teaching staff      |               |
|          | t       | persons for the total teaching |               |
|          | eaching | staff FTE Sum across all       |               |
|          | staff   | instructional support staff    |               |
|          | and     | persons for the total          |               |
|          | instru  | instructional support FTE.     |               |
|          | ctional |                                |               |
|          | support | For example, if your           |               |
|          | staff   | organization considers 1,920   |               |
|          | sepa    | hours to be full time, and     |               |
|          | rately. | teaching staff member Jane     |               |
|          |         | Smith works 1,440 hours per    |               |
|          | Fu      | year, her FTE is .75 (1,440    |               |
|          | ll-time | divided by 1,920). Sum Jane    |               |
|          | equ     | Smith's FTE with the FTEs from |               |
|          | ivalent | all other teaching staff to    |               |
|          | count   | calculate the total FTE for    |               |
|          | to one  | teaching staff.                |               |
|          | decimal |                                |               |
|          | place.  |                                |               |
+----------+---------+--------------------------------+---------------+
| Number   | Fu      | Number of FTE support staff    | End of budget |
| of FTE   | ll-time | (staff who provide ancillary,  | period        |
| instr    | equ     | support services) funded by    |               |
| uctional | ivalent | the HEP grant. See FTE         |               |
| support  | count   | definition above.              |               |
| staff    | to one  |                                |               |
|          | decimal | Also report the total number   |               |
|          | place.  | of FTE support staff           |               |
|          |         | contributing to the project,   |               |
|          |         | but not funded by the HEP      |               |
|          |         | grant.                         |               |
+----------+---------+--------------------------------+---------------+

**Instructions for Section D -- HEP Project Goals and Objectives**

In your approved grant application, you established project objectives
stating what you hope to achieve with your funded grant project.
Generally, one or more performance measures also were established for
each project objective that serve to demonstrate whether you have met or
are making progress towards meeting each project objective.

Report on the results to date of your project evaluation as required
under EDGAR, 34 CFR 75.590. According to the instructions below, for
each project objective included in your approved grant application,
provide quantitative and/or qualitative data for each associated
performance measure and a description of preliminary findings or
outcomes that demonstrate that you have met or are making progress
towards meeting the performance measure. You will also explain how your
data on your performance measures demonstrate that you have met or are
making progress towards meeting each project objective.

**Note:** Complete data *must* be submitted for any project-specific
performance measures that were included in your approved grant
application.

**For Annual Performance Reports**: The due date is 90 days following
the end of the budget period. This report contains counts that are
specific to each budget period.

**For Final Performance Reports:** The due date is 90 days following the
end of the budget period. Complete data on performance measures for the
final budget period must be submitted with the final performance report.
This report contains counts that are cumulative across all budget
periods.

**Section 1) Project Objective:**

Enter each project objective that is included in your approved grant
application. Only one project objective should be entered per row.
Project objectives should be numbered sequentially, i.e., 1., 2., 3.,
etc.

**Performance Measure:**

For each project objective, enter each associated performance measure.
There may be multiple performance measures associated with each project
objective. Enter only one performance measure per row. Each performance
measure that is associated with a particular project objective should be
labeled using an alpha indicator. Example: The first performance measure
associated with project objective "1" should be labeled "1.a.," the
second performance measure for project objective "1" should be labeled
"1.b.," etc. For each performance measure use the row that corresponds
to your project funding year (year 1, 2 3, 4 or 5 OR "F" for final
performance report).

**Quantitative Data:**

**Target and Actual Performance Data**

Provide the target you established for meeting each performance measure
and provide actual performance data demonstrating progress towards
meeting or exceeding this target. Only quantitative (numeric) data
should be entered in the Target and Actual Performance Data boxes.

The Target and Actual Performance Data boxes are each divided into three
columns: **Raw Number; Ratio; and Percentage (%).**

For performance measures that are stated in terms of a single number
(e.g., the number of workshops that will be conducted or the number of
students that will be served), the target and actual performance data
should be reported as a single number under the **Raw Number column**
(e.g., **10** workshops or **80** students). Please leave the **Ratio
and Percentage (%) columns** blank. For performance measures that are
stated in terms of a percentage (e.g., percentage of students that
attain proficiency), complete both the **Ratio column** and the
**Percentage (%) column**. Please leave the **Raw Number column** blank.

In the **Ratio column** (e.g., **80/100**), the numerator represents the
numerical target (e.g., the number of students that are expected to
attain proficiency) or actual performance data (e.g., the number of
students that attained proficiency), and the denominator represents the
number of students funded to be served under each objective. Please
enter the corresponding percentage (e.g., **80**%**)** in the
**Percentage (%) column**. *Note: the denominator may vary across
objectives, depending upon the number of students each objective is
designed to reach.*

If the collection of quantitative data is not appropriate for a
particular performance measure, please leave the Target and Actual
Performance Data boxes blank and provide an explanation and any relevant
qualitative data for the performance measure in the section entitled,
**Explanation of Progress (Section 2)**.

Note: If you are using weighted data, please indicate how the data are
weighted in the section entitled, **Explanation of Progress (Section
2).**

**Special instructions for grants in their first budget period**: If
baseline data for a performance measure were not included in your
approved application and targets were not set for the first budget
period, then enter either the number **999** under the **Raw Number
column** or the ratio **999/999** under the **Ratio column** of the
**Target box**, depending on how your data will be reported in the
future. The **999** or **999/999** indicates that baseline data are
being collected on the measure during the first budget period and
targets have not yet been set. Unless otherwise instructed by the
program office in the attached "Dear Colleague Letter," report baseline
data collected during the first budget period under either the **Raw
Number column** or the **Ratio and Percentage (%) columns** of the
**Actual Performance Data box,** as appropriate. After baseline data
have been collected during the first budget period, grantees are
expected to set targets for the second and any subsequent budget periods
and report actual performance data in their annual performance reports.

Section D also requests that data from multiple project years be
entered, according to the project year reported. This data will be
pre-populated by the program office for previous years. Data entry
should follow the process described above for sections A and B. The
final performance report should AVERAGE success rates across each of the
project years.

***Example:***

In year one of a project funded to serve 100 students per year with a
target of awarding financial aid to 100 percent of students, data entry
would look like this:

  ---------------------- ---------------- ----------- -------- ------------- ----------- ---------
  1.a. Performance       **Quantitative                                                  
  Measure                Data**                                                          

  **Award financial aid  **Target**                            **Actual                  
  to 100 percent of                                            Performance               
  students.**                                                  Data**                    

                         **Raw Number**   **Ratio**   **%**    **Raw         **Ratio**   **%**
                                                               Number**                  

                                          **/**                              **/**       

  Year One               100              100/100     100%     100           80/100      80%

  Year Two                                                                               

  Year Three                                                                             

  Year Four                                                                              

  Year Five                                                                              

  Final                                                                                  
  ---------------------- ---------------- ----------- -------- ------------- ----------- ---------

In year two, the APR should take the following form:

  ---------------------- ---------------- ----------- -------- ------------- ----------- ---------
  1.a. Performance       **Quantitative                                                  
  Measure                Data**                                                          

  **Award financial aid  **Target**                            **Actual                  
  to 100 percent of                                            Performance               
  students.**                                                  Data**                    

                         **Raw Number**   **Ratio**   **%**    **Raw         **Ratio**   **%**
                                                               Number**                  

                                          **/**                              **/**       

  Year One               100              100/100     100%     100           80/100      80%

  Year Two               100              100/100     100%     100           85/100      85%

  Year Three                                                                             

  Year Four                                                                              

  Year Five                                                                              

  Final                                                                                  
  ---------------------- ---------------- ----------- -------- ------------- ----------- ---------

The final performance report should take the following form:

  --------------------- ---------------- ----------- ------- ------------- ----------- ---------
  1.a. Performance      **Quantitative                                                 
  Measure               Data**                                                         

  **Award financial aid **Target**                           **Actual                  
  to 100 percent of                                          Performance               
  students.**                                                Data**                    

                        **Raw Number**   **Ratio**   **%**   **Raw         **Ratio**   **%**
                                                             Number**                  

                                         **/**                             **/**       

  Year One              100              100/100     100%    100           80/100      80%

  Year Two              100              100/100     100%    100           85/100      85%

  Year Three            100              100/100     100%    100           90/100      90%

  Year Four             100              100/100     100%    100           95/100      95%

  Year Five             100              100/100     100%    100           100/100     100%

  Final                 100              500/500     100%    500           450/500     90%
  --------------------- ---------------- ----------- ------- ------------- ----------- ---------

**Section 2) Explanation of Progress (Includes Qualitative Data and Data
Collection Information):**

1.  For each project objective and associated performance measures,
    indicate what data (quantitative and/or qualitative) were collected
    and when they were collected, the evaluation methods that were used,
    and how the data were analyzed. Clearly identify and explain any
    deviations from your approved evaluation plan, including changes in
    design or methodology, or the individual or organization conducting
    the evaluation.

2.  Based on your data, provide a description of preliminary findings or
    outcomes, including information to show whether you are making
    progress towards meeting each performance measure. Further, indicate
    how your performance measures data show that you have met or are
    making progress towards meeting the stated project objective. In
    your discussion, provide a brief description of your activities and
    accomplishments for the reporting period that are related to each
    project objective.

3.  If expected data were not attained, expected progress was not made
    toward meeting a performance measure or project objective, or a
    planned activity was not conducted as scheduled, provide an
    explanation. Include a description of the steps and schedules for
    addressing the problem(s) or issue(s).

4.  Indicate how you used your data and information from your evaluation
    to monitor the progress of your grant, and if needed, to make
    improvements to your original project plan (e.g., project activities
    and milestones) which are consistent with your approved objectives
    and scope of work.

**Section 3) Final Performance Report ONLY:** this information covers
the entire project report period (five years).

Grantees must answer each of the three questions identified below:

1.  Utilizing your evaluation results, draw conclusions about the
    success of the project and/or its impact. Describe any unanticipated
    outcomes or benefits from your project and any barriers that you may
    have encountered.

2.  What would you recommend as advice to other educators that are
    interested in your project? How did your original 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.

**Instructions for Section E -- HEP Project Budget Information**

**\-- Annual and Final Performance Reports:**

-   Report budget expenditure data in items 8a. -- 8c. of the Cover
    Sheet, as applicable. Please follow the instructions for completing
    items 8a. -- 8c. included in this instruction sheet.

-   For budget expenditures made with Federal grant funds, you must
    provide an explanation if funds have not been drawn down from GAPS
    to pay for the budget expenditure amounts reported in items 8a. --
    8c of the ED 524B Cover Sheet.

-   Provide an explanation if you did not expend funds at the expected
    rate during the reporting period.

-   Describe any changes to your budget that affected your ability to
    achieve your approved project activities and/or project objectives.

-   Describe any significant changes to your budget resulting from
    modification of project activities.

**\-- Annual Performance Reports Only:**

-   Do you expect to have any unexpended funds at the end of the current
    budget period? If you do, explain why, provide an estimate, and
    indicate how you plan to use the unexpended funds (carryover) in the
    next budget period.

-   Describe any anticipated changes in your budget for the next budget
    period that require prior approval from the Department (see EDGAR,
    34 CFR 74.25 and 80.30, as applicable).

**Instructions for Section F -- Additional Information**

**\-- Annual Performance Reports Only:**

-   If applicable, please provide a list of current partners on your
    grant and indicate if any partners changed during the reporting
    period. Please indicate if you anticipate any change in partners
    during the next budget period. If any of your partners changed
    during the reporting period, please describe whether this impacted
    your ability to achieve your approved project objectives and/or
    project activities.

-   If instructed by the program office, please report on any statutory
    reporting requirements for this grant program.

-   Describe any changes that you wish to make in the grant's activities
    for the next budget period that are consistent with the scope and
    objectives of your approved application.

-   If you are requesting changes to the approved key personnel listed
    in Block 4 of your GAN for the next budget period, please indicate
    the name, title and percentage of time of the requested key
    personnel. Additionally, please attach a resume or curriculum vitae
    for the proposed key personnel when you submit your performance
    report.

-   Note: Do not report on any key personnel changes made during the
    current or previous budget period(s). Departmental approval must be
    requested and received prior to making key personnel changes.

-   Provide any other appropriate information about the status of your
    project including any unanticipated outcomes or benefits from your
    project.

######### Cover Sheet -- Migrant HEP Annual Performance Report

***Check only one box per Program Office instruction.***

**\[ \] Annual Performance Report (check one: □ Y1 □ Y2 □ Y3 □ Y4 □
Y5)**

**\[ \] Final Performance Report**

**General Information**

1\. PR/ Number: \_\_\_\_\_\_\_\_\_\_ 2. NCES ID#: \_\_\_\_\_\_\_\_\_\_

*(Block 5 of the Grant Award Notification - 11 Characters.)* *(See
Instructions - Up to 12 Characters.)*

3 Project Title: \_\_\_\_\_\_\_\_\_

*(Enter the same title as on the approved application.)*

4\. Grantee Name *(Block 1 of the Grant Award Notification):*
\_\_\_\_\_\_\_\_

5\. Grantee Address *(See Instructions.)*

6\. Project Director Name: \_\_\_\_\_\_\_\_\_\_ Title:
\_\_\_\_\_\_\_\_\_\_

Ph #: ( ) \_\_\_\_ - \_\_\_\_\_ Ext: ( ) Fax \# : ( ) \_\_\_\_\_ -
\_\_\_\_\_

Email Address: \_\_\_\_\_\_\_\_\_\_

**Reporting Period Information *(See Instructions.)***

7\. Reporting Period: From: \_\_\_/\_\_\_/\_\_\_ To:
\_\_\_/\_\_\_/\_\_\_ (mm/dd/yyyy)

**Budget Expenditures *(To be completed by your Business Office. See
instructions. Also see Section B.)***

8\. Budget Expenditures

+-----------------------+----------------------+-----------------------+
|                       | **Federal Grant      | **Non-Federal Funds   |
|                       | Funds**              | *(Match/Cost          |
|                       |                      | Share)***             |
+-----------------------+----------------------+-----------------------+
| a\. Previous Budget   |                      |                       |
| Period                |                      |                       |
+-----------------------+----------------------+-----------------------+
| b\. Current Budget    |                      |                       |
| Period                |                      |                       |
+-----------------------+----------------------+-----------------------+
| c\. Entire Project    |                      |                       |
| Period                |                      |                       |
|                       |                      |                       |
| *(For Final           |                      |                       |
| Performance Reports   |                      |                       |
| only)*                |                      |                       |
+-----------------------+----------------------+-----------------------+

**Indirect Cost Information *(To be completed by your Business Office.
See instructions.)***

9\. Indirect Costs

a\. Are you claiming indirect costs under this grant? \_\_\_Yes \_\_\_No

b\. If yes, do you have an Indirect Cost Rate Agreement approved by the
Federal Government? \_\_\_Yes \_\_\_No

c\. If yes, provide the following information:

Period Covered by the Indirect Cost Rate Agreement: From: \_\_\_/
\_\_\_/\_\_\_ To: \_\_\_/\_\_\_/\_\_\_ (mm/dd/yyyy)

Approving Federal agency: \_\_\_ED \_\_\_Other *(Please specify*):
\_\_\_\_\_\_\_\_\_\_

Type of Rate *(For Final Performance Reports Only*): \_\_\_ Provisional
\_\_\_ Final \_\_\_ Other *(Please specify)* \_\_\_\_

d\. For Restricted Rate Programs (check one) \-- Are you using a
restricted indirect cost rate that:

\_\_\_ Is included in your approved Indirect Cost Rate Agreement?

\_\_\_ Complies with 34 CFR 76.564(c)(2)?

**Human Subjects *(See Instructions.)***

10\. Annual Certification of Institutional Review Board (IRB) Approval?
­\_\_\_Yes \_\_\_No \_\_\_N/A

**Performance Measures Status and Certification *(See Instructions.)***

11\. To the best of my knowledge and belief, all data in this
performance report are true and correct and the report fully discloses
all known weaknesses concerning the accuracy, reliability, and
completeness of the data.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Title:
\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Authorized Representative:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_/\_\_\_/\_\_\_\_

Signature:

**A. HEP Project Statistics and Reporting for GPRA**

+-------------------------------------------+---+---+---+---+---+---+
| A1. Number of students served during      | * | * | * | * | * | * |
| budget period.                            | * | * | * | * | * | * |
|                                           | Y | Y | Y | Y | Y | F |
|                                           | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Number funded to be served            |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number served in HEP GED instruction  |   |   |   |   |   |   |
|     (*note: A1c + A1d should sum to equal |   |   |   |   |   |   |
|     A1b)*                                 |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number served who were **new          |   |   |   |   |   |   |
|     participants** (first year in HEP)    |   |   |   |   |   |   |
|     (subset of A1b)                       |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| d.  Number served who were **returning    |   |   |   |   |   |   |
|     participants** (not first year in     |   |   |   |   |   |   |
|     HEP) (subset of A1b)                  |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| A2. Status at the end of budget period.   | * | * | * | * | * | * |
| (*note: A2a-d should sum to equal the     | * | * | * | * | * | * |
| number reported in A1b).*                 | Y | Y | Y | Y | Y | F |
|                                           | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Number of GED attainers               |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number of withdrawals                 |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number of persisters (coming back to  |   |   |   |   |   |   |
|     continue in the subsequent budget     |   |   |   |   |   |   |
|     period; persisters were enrolled in   |   |   |   |   |   |   |
|     instructional services in the budget  |   |   |   |   |   |   |
|     period reported but did not yet       |   |   |   |   |   |   |
|     achieve a GED and have returned in    |   |   |   |   |   |   |
|     the subsequent budget period to       |   |   |   |   |   |   |
|     continue instructional services)      |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| d.  Number of completers                  |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| A3. Placement of GED **attainers** from   | * | * | * | * | * | * |
| question A2a above at the end of budget   | * | * | * | * | * | * |
| period.                                   | Y | Y | Y | Y | Y | F |
|                                           | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Unduplicated number of GED attainers  |   |   |   |   |   |   |
|     who entered postsecondary education   |   |   |   |   |   |   |
|     programs, upgraded employment, or the |   |   |   |   |   |   |
|     military (count each participant only |   |   |   |   |   |   |
|     once for this row for an unduplicated |   |   |   |   |   |   |
|     count)                                |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| 1.  Number of GED attainers who entered   |   |   |   |   |   |   |
|     postsecondary education programs      |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| 2.  Number of GED attainers who obtained  |   |   |   |   |   |   |
|     upgraded employment                   |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| 3.  Number of GED attainers who entered   |   |   |   |   |   |   |
|     the military                          |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| A4. Time to completion for GED attainers  | * | * | * | * | * | * |
| from question A2a above. *(note: A4a-c    | * | * | * | * | * | * |
| should sum to equal the number reported   | Y | Y | Y | Y | Y | F |
| in A2a.)*                                 | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Number of GED attainers who got their |   |   |   |   |   |   |
|     GED within one year in your project   |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number of GED attainers who got their |   |   |   |   |   |   |
|     GED after more than one, but within   |   |   |   |   |   |   |
|     two years in your project             |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number of GED attainers who got their |   |   |   |   |   |   |
|     GED after more than two years in your |   |   |   |   |   |   |
|     project                               |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

B**. HEP Project Student Participant Information**

+------------------------------------------+---+---+---+----+---+---+
| B1. Instruction and services received by | * | * | * | ** | * | * |
| HEP GED enrolled students during the     | * | * | * | Y4 | * | * |
| budget period.                           | Y | Y | Y | ** | Y | F |
|                                          | 1 | 2 | 3 |    | 5 | * |
|                                          | * | * | * |    | * | * |
|                                          | * | * | * |    | * |   |
+==========================================+===+===+===+====+===+===+
| a\. Total GED instruction hours received |   |   |   |    |   |   |
| by all enrollees.                        |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| b\. Total GED instruction hours received |   |   |   |    |   |   |
| by GED recipients.                       |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| c\. Total instructional support services |   |   |   |    |   |   |
| received by all enrollees. (Please       |   |   |   |    |   |   |
| calculate the number of hours received   |   |   |   |    |   |   |
| across all services for all students.)   |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| d\. Total instructional support services |   |   |   |    |   |   |
| received by GED recipients. (Please      |   |   |   |    |   |   |
| calculate the number of hours received   |   |   |   |    |   |   |
| across all services for all students.)   |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| e\. Total number of students receiving   |   |   |   |    |   |   |
| the following types of services:         |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| Instructional Support Services (services |   |   |   |    |   |   |
| provided by staff in support of          |   |   |   |    |   |   |
| attainment of a GED and/or placement in  |   |   |   |    |   |   |
| post-secondary education, upgraded       |   |   |   |    |   |   |
| employment or a career in the military.) |   |   |   |    |   |   |
| Please indicate the number of students   |   |   |   |    |   |   |
| receiving instructional support          |   |   |   |    |   |   |
| services; calculation of total hours     |   |   |   |    |   |   |
| received or visits received, etc. is not |   |   |   |    |   |   |
| necessary.                               |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 1\. Tutoring (services provided in     |   |   |   |    |   |   |
| > support of a specific curriculum,      |   |   |   |    |   |   |
| > course or course of study)             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 2\. Mentoring or coaching (services    |   |   |   |    |   |   |
| > provided in support of general         |   |   |   |    |   |   |
| > academic career and post-GED           |   |   |   |    |   |   |
| > placement)                             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 3\. College transition services        |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 4\. Work training services             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 5\. Job placement services             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 6\. Counseling or guidance services    |   |   |   |    |   |   |
| > (services provided in support of       |   |   |   |    |   |   |
| > work-life balance and other            |   |   |   |    |   |   |
| > psycho-social aspects of GED           |   |   |   |    |   |   |
| > attainment and post-GED placement)     |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| Other Support Services (non-staff        |   |   |   |    |   |   |
| services provided in support of          |   |   |   |    |   |   |
| attainment of a GED and/or placement in  |   |   |   |    |   |   |
| post-secondary education, upgraded       |   |   |   |    |   |   |
| employment or a career in the military)  |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 7\. Transportation services or         |   |   |   |    |   |   |
| > financial support                      |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 8\. Child care                         |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 9\. Financial support for tuition      |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 10\. Financial support for books and   |   |   |   |    |   |   |
| > materials                              |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 11\. Other:                            |   |   |   |    |   |   |
| > \_\_\_\_\_\_\_\_\_\_                   |   |   |   |    |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 12\. Other:                            |   |   |   |    |   |   |
| > \_\_\_\_\_\_\_\_\_\_                   |   |   |   |    |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| f.  Number of **[students]{.underline}** |   |   |   |    |   |   |
|     receiving referrals to other         |   |   |   |    |   |   |
|     services                             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| g.  Total number of                      |   |   |   |    |   |   |
|     **[referrals]{.underline}** to other |   |   |   |    |   |   |
|     services                             |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| B2. Characteristics of the HEP GED        | * | * | * | * | * | * |
| enrolled students during this budget      | * | * | * | * | * | * |
| period. *(note: \[B2a and B2b\] and \[B2c | Y | Y | Y | Y | Y | F |
| and B2d\] should sum to equal the number  | 1 | 2 | 3 | 4 | 5 | * |
| reported in A1b).*                        | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+===========================================+===+===+===+===+===+===+
| a.  Number of students who are male       |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number of students who are female     |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number of students who are 25 years   |   |   |   |   |   |   |
|     old or younger                        |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| d.  Number of students who are over 25    |   |   |   |   |   |   |
|     years old                             |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| e.  Number of students who moved their    |   |   |   |   |   |   |
|     primary residence one or more times   |   |   |   |   |   |   |
|     during the budget period              |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| f.  Number of students who travel 20      |   |   |   |   |   |   |
|     miles or more to attend GED classes.  |   |   |   |   |   |   |
|     Please count all students who attend  |   |   |   |   |   |   |
|     the program whose home or permanent   |   |   |   |   |   |   |
|     address is 20 or more miles away.     |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| g.  Number of students who enrolled       |   |   |   |   |   |   |
|     during the budget period and required |   |   |   |   |   |   |
|     Adult Basic Education instruction     |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| h.  Number of students who enrolled       |   |   |   |   |   |   |
|     during the budget period and had      |   |   |   |   |   |   |
|     verifiable educational impairments.   |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| i.  Does your project screen students for | □ | □ | □ | □ | □ | □ |
|     English language proficiency? If      | Y | Y | Y | Y | Y | Y |
|     "No", skip to question C1. *Mark Y    |   |   |   |   |   |   |
|     for yes, or N for no.*                | □ | □ | □ | □ | □ | □ |
|                                           | N | N | N | N | N | N |
+-------------------------------------------+---+---+---+---+---+---+
| > 1\. Number of students who enrolled     |   |   |   |   |   |   |
| > during the budget period and had        |   |   |   |   |   |   |
| > English as a second language needs      |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

**C. HEP Project Services Information**

C1. Project Model Characteristics

+----------------------------------------------------------+-----------+
| a.  Is this project a commuter or residential project or | □         |
|     a combination of both?                               | Commuter  |
|                                                          |           |
|                                                          | □         |
|                                                          | Re        |
|                                                          | sidential |
|                                                          |           |
|                                                          | □         |
|                                                          | Co        |
|                                                          | mbination |
|                                                          | of        |
|                                                          | commuter  |
|                                                          | and       |
|                                                          | re        |
|                                                          | sidential |
+----------------------------------------------------------+-----------+
| b.  Does this project provide open enrollment or         | □ Open    |
|     structured enrollment?                               |           |
|                                                          | □         |
|                                                          | S         |
|                                                          | tructured |
+----------------------------------------------------------+-----------+
| c.  In what languages are project services provided?     | □ English |
|     (Check all that apply.)                              |           |
|                                                          | □ Spanish |
|                                                          |           |
|                                                          | □ Other   |
+----------------------------------------------------------+-----------+

C2. Project Personnel Characteristics

+----------------------------------------------------------+-----------+
| a.  Number of FTE teaching staff funded by the HEP grant |           |
+----------------------------------------------------------+-----------+
| b.  Number of FTE teaching staff contributing to the     |           |
|     project's GED instruction, not funded by the HEP     |           |
|     grant                                                |           |
+----------------------------------------------------------+-----------+
| c.  Number of FTE instructional support staff (tutors,   |           |
|     coaches, mentors) funded by the HEP grant            |           |
+----------------------------------------------------------+-----------+
| d.  Number of FTE instructional support staff            |           |
|     contributing to the project's GED instruction, not   |           |
|     funded by the HEP grant                              |           |
+----------------------------------------------------------+-----------+

C3. Project HEP GED Instructional Services Offered

+----------------------------------------------------------+-----------+
| a.  How frequently are GED instructional services        | □ Daily   |
|     provided? Check only one option; check the option    |           |
|     that best describes the frequency of instructional   | □ Weekly  |
|     services. If your program has both part time and     |           |
|     full time options, please check the box that bests   | □ Monthly |
|     describes the majority of your program's students.   |           |
+----------------------------------------------------------+-----------+
| b.  Average length of instructional service per          | \_\_\_    |
|     individual instructional session, in hours. (Provide | hours     |
|     the average length of instructional service that     |           |
|     best describes the majority of your students.)       |           |
+----------------------------------------------------------+-----------+
| c.  Average length of instructional service per          | \_\       |
|     semester, in days. (Provide the average length of    | _\_\_days |
|     instructional service that best describes the        |           |
|     majority of your students.)                          |           |
+----------------------------------------------------------+-----------+

C4. Project Student Assessment Information

+----------------------------------------------------------+-----------+
| a.  Does your project screen students prior to           | Yes       |
|     enrollment in HEP GED instructional services to      |           |
|     establish whether they are above or below a          | No        |
|     proficiency threshold? (Check one.)                  |           |
|                                                          |           |
| If "No," skip to question C4b.                           |           |
+----------------------------------------------------------+-----------+
| 1.  If your project uses a screening or intake           | □ At or   |
|     assessment to establish a proficiency threshold,     | above     |
|     what is your project proficiency threshold for       | 7^th^     |
|     accepting students into HEP GED instructional        | grade     |
|     services (check only one response; please check "no  |           |
|     assessment" if the intake or screening process does  | □ At or   |
|     not measures proficiency threshold)?                 | above     |
|                                                          | 3^rd^     |
|                                                          | grade     |
|                                                          |           |
|                                                          | □ Other:  |
|                                                          | \_\_\_\_  |
|                                                          | \_\_\_\_\ |
|                                                          | _\_\_\_\_ |
|                                                          |           |
|                                                          | □ No      |
|                                                          | a         |
|                                                          | ssessment |
+----------------------------------------------------------+-----------+
| 2.  What kind of screening or intake assessment is used? |           |
|     (If a published assessment, please provide the       |           |
|     title. If not a published assessment, please provide |           |
|     the program office with a copy of the assessment     |           |
|     used.)                                               |           |
+----------------------------------------------------------+-----------+
| 3.  What was the average screening or intake assessment  |           |
|     score for this budget period? If a separate          |           |
|     assessment is used for Spanish speaking and English  |           |
|     speaking students, scores should be reported         |           |
|     separately for Spanish and English students in the   |           |
|     space provided. Scores should not be combined. Only  |           |
|     include scores for students accepted into the        |           |
|     project (i.e., do not include scores for students    |           |
|     who did not screen above proficiency thresholds or   |           |
|     who otherwise were not accepted into the project.)   |           |
+----------------------------------------------------------+-----------+
| 4.  What was the range of screening or intake assessment | Min:      |
|     scores for this budget period? If a separate         |           |
|     assessment is used for Spanish speaking and English  | Max:      |
|     speaking students, scores should be reported         |           |
|     separately for Spanish and English students in the   |           |
|     space provided. Scores should not be combined. Only  |           |
|     include scores for students accepted into the        |           |
|     project (i.e., do not include scores for students    |           |
|     who did not screen above proficiency thresholds or   |           |
|     who otherwise were not accepted into the project.)   |           |
+----------------------------------------------------------+-----------+
| b.  Does your project use a student assessment of gains? | Yes       |
|     (check one)                                          |           |
|                                                          | No        |
| If "No," skip to question C5.                            |           |
+----------------------------------------------------------+-----------+
| 1.  What kind of gains assessment is used? (If a         |           |
|     published assessment, please provide the title. If   |           |
|     not a published assessment, please provide the       |           |
|     program office with a copy of the assessment used.)  |           |
+----------------------------------------------------------+-----------+
| 2.  What was the average number of grade levels gained   |           |
|     by students in this budget period? If a separate     |           |
|     assessment is used for Spanish speaking and English  |           |
|     speaking students, scores should be reported         |           |
|     separately for Spanish and English students in the   |           |
|     space provided. Scores should not be combined.       |           |
+----------------------------------------------------------+-----------+
| 3.  What was the range of grade level gains by students  | Min:      |
|     in this budget period? If a separate assessment is   |           |
|     used for Spanish speaking and English speaking       | Max:      |
|     students, scores should be reported separately for   |           |
|     Spanish and English students in the space provided.  |           |
|     Scores should not be combined.                       |           |
+----------------------------------------------------------+-----------+
| 4.  How many weeks or months elapse between the pre and  |           |
|     post assessments for the gains assessment scores?    |           |
+----------------------------------------------------------+-----------+

C5. Please describe, in a paragraph not to exceed 300 words, the nature
of project services with regard to a) curricular approach, b) locus of
services (e.g., at a community college, at a community center, at a high
school), c) learning format (e.g., traditional class format, seminar,
workshop), d) major collaborators (e.g., partners whose collaboration is
necessary project implementation and success) and any other aspect of
project design that is a strong influence on service delivery and
success.

+----------------------------------+-----------------------------------+
| **D. HEP Project Goals and       | **Project Name:**                 |
| Objectives**                     |                                   |
+----------------------------------+-----------------------------------+
|                                  | **Award Number:**                 |
+----------------------------------+-----------------------------------+
| **Project Performance Objectives | **Project Year:** **(check one: □ |
| Information**                    | Y1 □ Y2 □ Y3 □ Y4 □ Y5 □ F)**     |
|                                  |                                   |
| (Use as many pages as            |                                   |
| necessary.)                      |                                   |
+----------------------------------+-----------------------------------+

**Section 1. Project Objective**

  ------------------------- ---------------- ----------- ------- ------------- ----------- -------
  1.a. Performance Measure  **Quantitative                                                 
                            Data**                                                         

                            **Target**                           **Actual                  
                                                                 Performance               
                                                                 Data**                    

                            **Raw Number**   **Ratio**   **%**   **Raw         **Ratio**   **%**
                                                                 Number**                  

                                             **/**                             **/**       

  **Year One**                                                                             

  **Year Two**                                                                             

  **Year Three**                                                                           

  **Year Four**                                                                            

  **Year Five**                                                                            

  **Final**                                                                                
  ------------------------- ---------------- ----------- ------- ------------- ----------- -------

  ------------------------- ---------------- ----------- ------- ------------- ----------- -------
  1.b. Performance Measure  **Quantitative                                                 
                            Data**                                                         

                            **Target**                           **Actual                  
                                                                 Performance               
                                                                 Data**                    

                            **Raw Number**   **Ratio**   **%**   **Raw         **Ratio**   **%**
                                                                 Number**                  

                                             **/**                             **/**       

  **Year One**                                                                             

  **Year Two**                                                                             

  **Year Three**                                                                           

  **Year Four**                                                                            

  **Year Five**                                                                            

  **Final**                                                                                
  ------------------------- ---------------- ----------- ------- ------------- ----------- -------

**Section 2:** Explanation of Progress (Include Qualitative Data, Data
Resulting from Experimental or Quasi-Experimental Design, and Data
Collection Information)

**Section 3:** **FINAL PERFORMANCE REPORT ONLY (**This information
covers the entire project period, or five years).

Grantees must answer each of the three questions identified below and in
the attached reporting document,** **

1.  Utilizing your evaluation results, draw conclusions about the
    success of the project and its impact. Describe any unanticipated
    outcomes or benefits from your project and any barriers that you may
    have encountered.

2.  What would you recommend as advice to other educators that are
    interested in your project? How did your original 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.

**E. HEP Project Budget Information (see instructions)**

**F. Additional Information (see instructions)**

[^1]: Note: increasing percentages of HEP participants receiving GED and
    placement in post secondary education, upgraded employment or
    military is the goal for the program office at the national level.
    Projects will be assessed individually, on an annual basis, as to
    their capacity to increase these measures.