**College Assistance Migrant Program**

**U.S. Department of Education**

**Annual Performance Report Form for 2007-08 and**

Sample University

S149A090021

**Introduction**

The College Assistance Migrant Program (CAMP) is intended to assist
migrant and seasonal farmworker students to successfully complete their
first academic year of college and to continue at a postsecondary
education institution. The legislation that authorizes the CAMP 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 CAMP GPRA indicators (program performance measures) are listed
below:

**Objective 1 of 2:** All CAMP students will complete their first
academic year at a postsecondary institution in good standing.

**Measure 1.1 of 1:** The percentage\* of College Assistance Migrant
Program (CAMP) participants completing the first year of their academic
or postsecondary program. (Desired direction: increase[^1])

**Calculation**: This measure is calculated by dividing the number of
CAMP first academic year completers (the number of CAMP eligible
students who successfully completed their first academic year of college
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 |       |        |       | (Pe   |
|       | com |     |       | S   |       |        |       | rcent |
|       | ing |     |       | tud |       |        |       | compl |
|       |  St |     |       | ent |       |        |       | eting |
|       | ude |     |       | s** |       |        |       | 1^st^ |
|       | nts |     |       |     |       |        |       | year  |
|       |     |     |       |     |       |        |       | of    |
|       |     |     |       |     |       |        |       | colle |
|       |     |     |       |     |       |        |       | ge)** |
+-------+-----+-----+-------+-----+-------+--------+-------+-------+
|       | *   | *   | *     | *   | *     | **W    | **    |       |
|       | *To | *Ne | *Retu | *To | *CAMP | ithdra | Persi |       |
|       | tal | w** | rning | tal | first | wals** | sters |       |
|       | Fu  |     | from  | Fu  | aca   |        | (c    |       |
|       | nde |     | Pre   | nde | demic |        | oming |       |
|       | d** |     | vious | d** | year  |        | back  |       |
|       |     |     | Y     |     | co    |        | in    |       |
|       |     |     | ear** |     | mplet |        | subse |       |
|       |     |     |       |     | ers** |        | 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 (CAMP first academic
year completers), 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 (CAMP first academic year completers), for a
success rate of 70/95 or 74 percent.

***Note: The APR does not address the total number recruited to be
served. Each grantee may be serving fewer students than they recruit.
For reporting, the key variable is the number funded to be served (not
recruited).***

**Objective 2 of 2:** A majority of CAMP students who successfully
complete their first academic year of college will continue in
postsecondary education.

**Measure 2.1 of 1:** The percentage\* of College Assistance Migrant
Program (CAMP) participants who, after completing the first academic
year of college, continue their postsecondary education. (Desired
direction: increase)

**Calculation:** This measure is calculated by dividing the number of
CAMP first academic year completers who continue their postsecondary
education by the total number of CAMP first academic year completers.

***Example:***

  ---------- -------------- -------------------------------- ----------------
  **Grant    **Total \# of  **Total \# of CAMP first         **GPRA 2.1
  Year**     CAMP first     academic year completers who     (percent
             academic year  continued in Postsecondary       achieving
             completers**   Education Programs**             placement)**

  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 CAMP first academic year
completers, 60 continued in postsecondary educations programs. The
numerator is 60, the number of CAMP first academic year completers who
continued in postsecondary education programs. The denominator is 65,
the number of CAMP first academic year completers, for a placement of
60/65, or 92 percent. For grant year 2, in which there were 70 CAMP
first academic year completers, 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 CAMP first academic year
completers 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 CAMP
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 ~~[1810-0684]{.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 CAMP program, U.S. Department of Education, 400 Maryland
Avenue, SW, Washington, D.C. 20202-4651.

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

This annual performance report covers the reporting period for the
budget period stated in Section 6 of your Grant Award Notification (GAN)
and must be completed and submitted by December 31^st^ of each project
year unless it is a fifth-year report and an extension has been granted.
If this form is being submitted as a final performance report, the form
covers the reporting period for the budget period stated in Section 6 of
your Grant Award Notification (GAN) and must be submitted by December
31^st^ of the final project year unless it is a fifth-year report and an
extension has been granted. This Migrant CAMP 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 your
assigned program officer.

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

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

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

**Section C -- CAMP Project Services Information**

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

**Section E -- CAMP 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;
    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 certifying representative's address that is listed in Block 1 of
your GAN has changed, submit the new name and contact information in
section F, Additional Information.

**Question 7. Reporting Period**

**\-- Annual Performance Reports:**

**Due Date:** Annual performance reports must be submitted by December
31^st^ of each project year. If you receive a no-cost time extension
from ED for the budget period, the annual 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 must be submitted by December
31^st^ of the final project year. 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 entire performance period of
your grant from Block 6 of the GAN. The reporting period for your final
performance report covers the entire performance period (five years).
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 E (Budget Information), 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), 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 -- CAMP Project Statistics and Reporting
for GPRA**

**Definitions**

**(The Definitions Sections are divided into three parts: Section A --
CAMP Project Statistics and Reporting for GPRA; Section B -- CAMP
Project Student Participation and Information; and Section C -- CAMP
Project Services Information.)**

+----------+---------+--------------------------------+---------------+
| **Va     | *       | **Definition and notes**       | **Period for  |
| riable** | *Calcul |                                | Compiling     |
|          | ation** |                                | Data**        |
+==========+=========+================================+===============+
| *        |         |                                |               |
| *Section |         |                                |               |
| A --     |         |                                |               |
| CAMP     |         |                                |               |
| 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.            |               |
+----------+---------+--------------------------------+---------------+
| CAMP     | Cum     | The number of CAMP eligible    | Any time      |
| first    | ulative | students who complete their    | after the     |
| academic | count.  | first academic year. The       | first         |
| year     |         | "First Academic Year" will be  | academic year |
| Co       |         | defined by the IHE, in which   | of college is |
| mpleters |         | the CAMP student is currently  | completed and |
|          |         | enrolled.                      | before the    |
|          |         |                                | performance   |
|          |         | Note: To best capture this     | report is     |
|          |         | data, the number of students   | due.          |
|          |         | who completed their first      |               |
|          |         | academic year of college will  |               |
|          |         | be compiled and calculated any |               |
|          |         | time after the first academic  |               |
|          |         | year of college is completed   |               |
|          |         | and before the performance     |               |
|          |         | report is due. This procedure  |               |
|          |         | will apply to all counts for   |               |
|          |         | which **actual** (as opposed   |               |
|          |         | to projected) data is          |               |
|          |         | necessary.                     |               |
+----------+---------+--------------------------------+---------------+
| Co       | Undup   | Of those students who          | Any time      |
| ntinuing | licated | completed their first academic | after the     |
| CAMP     | count.  | year of college in this budget | **first       |
| First    |         | period, the number who         | academic year |
| Academic |         | continued in postsecondary     | of college is |
| Year     |         | education programs.            | completed**   |
| Co       |         |                                | and before    |
| mpleters |         | This measure should be taken   | the           |
|          |         | any time after the **first     | performance   |
|          |         | academic year of college**     | report is     |
|          |         | **is completed** and before    | due.          |
|          |         | the performance report is due, |               |
|          |         | and should be based on         |               |
|          |         | **actual placement** and not   |               |
|          |         | on anticipated placement.      |               |
+----------+---------+--------------------------------+---------------+
| First    | Count.  | "First Academic Year" will be  | First         |
| Academic |         | defined by the IHE, in which   | Academic Year |
| Year     |         | the CAMP student is currently  |               |
|          |         | enrolled.                      |               |
|          |         |                                |               |
|          |         | **Please provide your IHE's    |               |
|          |         | definition of "academic year"  |               |
|          |         | in the space provided in       |               |
|          |         | section [A2a]{.underline} of   |               |
|          |         | the APR.**                     |               |
+----------+---------+--------------------------------+---------------+
| Former   | Count.  | The number of students who     |               |
| CAMP     |         | participated in your CAMP      |               |
| Students |         | project prior to the current   |               |
|          |         | budget period.                 |               |
|          |         |                                |               |
|          |         | **This count may include those |               |
|          |         | students who may have          |               |
|          |         | graduated from an IHE that     |               |
|          |         | doesn't partner with your      |               |
|          |         | CAMP.**                        |               |
+----------+---------+--------------------------------+---------------+
| In Good  | Count   | "In good standing" will be     | []{.mark}     |
| Standing |         | defined by the IHE, in which   |               |
|          |         | the CAMP student is currently  |               |
|          |         | enrolled.                      |               |
|          |         |                                |               |
|          |         | ***Please Note: "In good       |               |
|          |         | standing" is not a requirement |               |
|          |         | for the measure of Objective   |               |
|          |         | 2."***                         |               |
+----------+---------+--------------------------------+---------------+
| New      | Cum     | The number of CAMP eligible    | End of budget |
| Par      | ulative | students who were new to the   | period.       |
| ticipant | count.  | project (i.e. not previously   |               |
|          |         | enrolled in CAMP services),    |               |
|          |         | completed intake, and were     |               |
|          |         | enrolled and attending college |               |
|          |         | courses past the Add/Drop      |               |
|          |         | deadline assigned by the       |               |
|          |         | project's IHE. (This is a      |               |
|          |         | subset of the number served.)  |               |
|          |         |                                |               |
|          |         | The above criteria are to      |               |
|          |         | occur within this budget       |               |
|          |         | period.                        |               |
+----------+---------+--------------------------------+---------------+
| [No.     | None.   | Number of participants         | Beginning of  |
| Fun      |         | officially funded by the CAMP  | budget        |
| ded]{.un |         | grant to be enrolled in first  | period.       |
| derline} |         | academic year college          |               |
| To Be    |         | instruction in your CAMP       |               |
| Served   |         | project in this budget period. |               |
+----------+---------+--------------------------------+---------------+
| [No.     | Cum     | The number of CAMP eligible    | End of budget |
| Ser      | ulative | students who completed intake  | period        |
| ved]{.un | count.  | and were enrolled and          |               |
| derline} |         | attending college courses past |               |
| In CAMP  |         | the Add/Drop deadline assigned |               |
| First    |         | by the project's IHE.          |               |
| Academic |         |                                |               |
| Year     |         | The above criteria are to      |               |
| College  |         | occur within this budget       |               |
| Ins      |         | period.                        |               |
| truction |         |                                |               |
+----------+---------+--------------------------------+---------------+
| No. of   | Count.  | The program office's           | Any time      |
| CAMP     |         | expectation is that all CAMP   | after the     |
| First    |         | first academic year completers | first         |
| Academic |         | will receive follow-up to      | academic year |
| Year     |         | determine if they continued in | of college is |
| Co       |         | post-secondary education       | completed and |
| mpleters |         | programs. Follow-up should     | before the    |
| you were |         | occur in a timely fashion      | performance   |
| able to  |         | (i.e., within 90 days of the   | report is     |
| track    |         | end of the budget period),     | due.          |
| for      |         | such that annual performance   |               |
| f        |         | reporting can be completed.    |               |
| ollow-up |         | Use this space to enter the    |               |
| data     |         | number of CAMP first academic  |               |
|          |         | year completers that a) you    |               |
|          |         | were able to track AND b)      |               |
|          |         | provided follow-up data.       |               |
+----------+---------+--------------------------------+---------------+
| Pe       | Count.  | The number of CAMP eligible    | After the     |
| rsisters |         | students who completed intake, | budget year   |
|          |         | were enrolled and attending    | ends and      |
|          |         | college courses past the       | before the    |
|          |         | Add/Drop deadline assigned by  | performance   |
|          |         | the project's IHE, but did not | report is     |
|          |         | complete their first academic  | due.          |
|          |         | year of college, however,      |               |
|          |         | re-enrolled for continuing     | For example:  |
|          |         | instructional services in      | To report for |
|          |         | support of completing their    | the budget    |
|          |         | first academic year of         | period stated |
|          |         | postsecondary education in the | in Section 6  |
|          |         | **subsequent** budget period.  | of your Grant |
|          |         |                                | Award         |
|          |         | ***By the time this report is  | Notification  |
|          |         | submitted, on December 31,     | (GAN),        |
|          |         | 2008, projects will know       | compile data  |
|          |         | whether the students returned  | between the   |
|          |         | (became "persisters") or not.  | end date and  |
|          |         | The most accurate data         | December 31,  |
|          |         | available should be reported   | 2008.         |
|          |         | at that time.***               |               |
+----------+---------+--------------------------------+---------------+
| R        | Cum     | The number of CAMP eligible    | End of budget |
| eturning | ulative | students who completed intake  | period.       |
| Par      | count.  | in any prior budget period but |               |
| ticipant |         | did not complete their first   |               |
|          |         | academic year of college at    |               |
|          |         | that time, and were enrolled   |               |
|          |         | and attending college courses  |               |
|          |         | past the Add/Drop deadline     |               |
|          |         | assigned by the project's IHE. |               |
|          |         | (This is a subset of the       |               |
|          |         | number served.)                |               |
+----------+---------+--------------------------------+---------------+
| Wit      | Count.  | The number of CAMP eligible    | After the     |
| hdrawals |         | students who completed intake, | budget year   |
|          |         | were enrolled and attending    | ends and      |
|          |         | college courses past the IHE's | before the    |
|          |         | Add/Drop deadline assigned by  | performance   |
|          |         | the project's IHE, but left    | report is     |
|          |         | the CAMP program without       | due.          |
|          |         | completing the first academic  |               |
|          |         | year of college and without    | For example:  |
|          |         | re-enrolling for instruction   | To report for |
|          |         | in the subsequent budget       | the budget    |
|          |         | period. This count also should | period stated |
|          |         | include students who earned    | in Section 6  |
|          |         | some college credits, but did  | of your Grant |
|          |         | not complete the first         | Award         |
|          |         | academic year of college.      | Notification  |
|          |         |                                | (GAN),        |
|          |         | **A withdrawal indicates that  | compile data  |
|          |         | students have left the         | between the   |
|          |         | project, or have not           | end date and  |
|          |         | re-enrolled in subsequent      | December 31,  |
|          |         | budget periods, for whatever   | 2008.         |
|          |         | reason.**                      |               |
+----------+---------+--------------------------------+---------------+

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

**Definitions**

+----------+---------+--------------------------------+---------------+
| **Va     | *       | **Definition and notes**       | **Period for  |
| riable** | *Calcul |                                | Compiling     |
|          | ation** |                                | Data**        |
+==========+=========+================================+===============+
| *        |         |                                |               |
| *Section |         |                                |               |
| B --     |         |                                |               |
| CAMP     |         |                                |               |
| Project  |         |                                |               |
| Student  |         |                                |               |
| Par      |         |                                |               |
| ticipant |         |                                |               |
| Infor    |         |                                |               |
| mation** |         |                                |               |
+----------+---------+--------------------------------+---------------+
| Career-  | Count.  | Guided employment that         | End of budget |
| oriented |         | provides opportunities for the | period.       |
| wo       |         | CAMP student to develop or     |               |
| rk-study |         | enhance his or her career      |               |
|          |         | skills.                        |               |
|          |         |                                |               |
|          |         | This definition of             |               |
|          |         | "career-oriented work-study"   |               |
|          |         | is not limited to any          |               |
|          |         | particular work-study program. |               |
|          |         | Students may be counted for    |               |
|          |         | this service whether or not    |               |
|          |         | the work-study is funded by    |               |
|          |         | CAMP, as long as the guidance  |               |
|          |         | that is provided to students   |               |
|          |         | is funded by CAMP funds.       |               |
+----------+---------+--------------------------------+---------------+
| Edu      | Cum     | The number of students         | End of budget |
| cational | ulative | enrolled and served in college | period.       |
| Imp      | count.  | courses past the Add/Drop      |               |
| airments |         | deadline assigned by the       |               |
|          |         | project's IHE, during this     |               |
|          |         | budget period, that had        |               |
|          |         | educational impairments, as    |               |
|          |         | verified through standardized  |               |
|          |         | assessments of special needs   |               |
|          |         | or learning disabilities.      |               |
+----------+---------+--------------------------------+---------------+
| English  | Cum     | The number of students         | End of budget |
| Language | ulative | enrolled and served in college | period.       |
| Learner  | count.  | courses past the Add/Drop      |               |
| (ELL)    |         | deadline assigned by the       |               |
|          |         | project's IHE, during this     |               |
|          |         | budget period, that had        |               |
|          |         | English as a second language   |               |
|          |         | needs as determined by         |               |
|          |         | placement testing.             |               |
+----------+---------+--------------------------------+---------------+
| F        | Total   | CAMP-funded, monetary services | End of budget |
| inancial | or      | provided to CAMP students in   | period.       |
| Services | cumu    | support of their first         |               |
|          | lative. | academic year. This count does |               |
|          |         | not include other services     |               |
|          |         | provided to CAMP students by   |               |
|          |         | the university.                |               |
|          |         |                                |               |
|          |         | Examples include stipends,     |               |
|          |         | scholarships, transportation,  |               |
|          |         | career-oriented work-study,    |               |
|          |         | books and supplies, tuition    |               |
|          |         | and fees, and room and board.  |               |
|          |         |                                |               |
|          |         | Calculate the number of hours  |               |
|          |         | of financial services each     |               |
|          |         | student received and add those |               |
|          |         | numbers together to obtain the |               |
|          |         | total hours of monetary        |               |
|          |         | services received by all       |               |
|          |         | students.                      |               |
+----------+---------+--------------------------------+---------------+
| Su       | Total   | CAMP-funded services provided  | End of budget |
| pportive | or      | to CAMP students in support of | period.       |
| &        | cumu    | their first academic year that |               |
| Instr    | lative. | are not financial in nature.   |               |
| uctional |         | This count does not include    |               |
| Services |         | other services provided to     |               |
|          |         | CAMP students by the           |               |
|          |         | university.                    |               |
|          |         |                                |               |
|          |         | Examples include personal,     |               |
|          |         | academic & career counseling,  |               |
|          |         | tutoring, mentoring, health    |               |
|          |         | services, and assistance with  |               |
|          |         | special admissions.            |               |
|          |         |                                |               |
|          |         | Calculate the number of hours  |               |
|          |         | of services each student       |               |
|          |         | received and add those numbers |               |
|          |         | together to obtain the total   |               |
|          |         | hours of services received by  |               |
|          |         | all students.                  |               |
+----------+---------+--------------------------------+---------------+

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

**Definitions**

+----------+----------+-------------------------------+---------------+
| **Va     | **Calcu  | **Definition and notes**      | **Period for  |
| riable** | lation** |                               | Compiling     |
|          |          |                               | Data**        |
+==========+==========+===============================+===============+
| *        |          |                               |               |
| *Section |          |                               |               |
| C --     |          |                               |               |
| CAMP     |          |                               |               |
| Project  |          |                               |               |
| Services |          |                               |               |
| Infor    |          |                               |               |
| mation** |          |                               |               |
+----------+----------+-------------------------------+---------------+
| Admini   | F        | Staff [funded by the CAMP     | End of budget |
| strative | ull-time | grant]{.underline} that serve | period.       |
| Staff    | eq       | to manage the project.        |               |
|          | uivalent |                               |               |
|          | count to | Also report the total number  |               |
|          | one      | of FTE administrative staff   |               |
|          | decimal  | contributing to the project   |               |
|          | place.   | but not funded by the CAMP    |               |
|          |          | grant.                        |               |
+----------+----------+-------------------------------+---------------+
| FTE      | D        | FTE is a measure equal to one |               |
| (f       | etermine | staff person working a        |               |
| ull-time | the FTE  | full-time work schedule for   |               |
| equ      | for each | one year.                     |               |
| ivalent) | admini   |                               |               |
|          | strative | To calculate the total FTE:   |               |
|          | or       |                               |               |
|          | support  | For each administrative staff |               |
|          | staff    | person or support person,     |               |
|          | person.  | divide the total number of    |               |
|          |          | hours that employee works in  |               |
|          | F        | your CAMP project each year   |               |
|          | ull-time | by the number of hours your   |               |
|          | eq       | organization considers full   |               |
|          | uivalent | time for one year. Sum across |               |
|          | count to | all staff persons for the     |               |
|          | one      | total staff FTE.              |               |
|          | decimal  |                               |               |
|          | place.   | For example, if your          |               |
|          |          | organization considers 1,920  |               |
|          |          | hours to be full time, and    |               |
|          |          | administrative staff member   |               |
|          |          | Jane Smith works 1,440 hours  |               |
|          |          | per year, her FTE is .75      |               |
|          |          | (1,440 divided by 1,920). Sum |               |
|          |          | Jane Smith's FTE with the     |               |
|          |          | FTEs from all other           |               |
|          |          | administrative staff to       |               |
|          |          | calculate the total FTE for   |               |
|          |          | teaching staff.               |               |
+----------+----------+-------------------------------+---------------+
| Su       | F        | Staff who provide, supportive | End of budget |
| pportive | ull-time | & instructional services      | period.       |
| &        | eq       | (i.e. personal, academic &    |               |
| Instr    | uivalent | career counseling, tutoring,  |               |
| uctional | count to | mentoring, health services,   |               |
| Staff    | one      | and assistance with special   |               |
|          | decimal  | admissions) [funded by the    |               |
|          | place.   | CAMP grant.]{.underline} See  |               |
|          |          | FTE definition above.         |               |
|          |          |                               |               |
|          |          | Also report the total number  |               |
|          |          | of FTE support staff          |               |
|          |          | contributing to the project,  |               |
|          |          | but not funded by the CAMP    |               |
|          |          | grant.                        |               |
+----------+----------+-------------------------------+---------------+

**Instructions for Section D -- CAMP 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.

**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. Data on GPRA objectives should only be entered in section A of this
form, and should not be reported in this section.

**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.

***Note: Short anecdotes are welcome additions to the "explanation of
progress" section. Also, please use this section to*** ***detail any
positive or negative impacts of this reporting framework.***

**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 -- CAMP Project Budget Information**

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

**Cover Sheet -** Report budget expenditure data in items 8a. -- 8c. of
the Cover Sheet, as applicable.

**1. Section E** -- Report the following items 1.a. -- 1.d. in Section E
of this report.

> 1.a. 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 Cover Sheet.
>
> 1.b. Provide an explanation if you did not expend funds at the
> expected rate during the reporting period.
>
> 1.c. Describe any changes to your budget that affected your ability to
> achieve your approved project activities and/or project objectives.
>
> 1.d. Describe any significant changes to your budget resulting from
> modification of project activities.

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

**2.** **For Annual Performance Reports Only** -- Using the specific
budget categories as in Form ED 524,

> comparatively report in column (a) your previously submitted revised
> budget amounts for this reporting period, identifying any amounts that
> include carryover funds from the previous budget period with an
> asterisk. In column (b) report your project's actual expenditures for
> this performance period. Additionally, briefly explain any difference
> in the total amounts of these two budget columns.

**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.

-   Note: Do not submit requests in this report for supplemental funds
    or any changes that you wish to make in the grant's activities for
    the next budget period. Requests for these actions must be made
    separately to the program office for review and approval decisions.

-   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 -- CAMP Annual Performance Report

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

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

**□ Final Performance Report**

**General Information**

1\. PR/ Number: [S149A090021]{.underline} 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):* [Sample
University]{.underline}

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. CAMP 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.           |   | 6 | 6 | 6 | 6 |   |
|                                           |   | 0 | 0 | 0 | 0 |   |
|                                           |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number served in college courses      |   | 4 | 6 | 6 |   |   |
|     (*Note: A1c + A1d should sum to equal |   | 8 | 0 | 0 |   |   |
|     A1b).*                                |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number served who were **new          |   |   |   |   |   |   |
|     participants** (first academic year   |   |   |   |   |   |   |
|     in CAMP) (subset of A1b).             |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| d.  Number served who were **returning    |   |   |   |   |   |   |
|     participants** (not first academic    |   |   |   |   |   |   |
|     year in CAMP) (subset of A1b).        |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| A2. Status at the end of budget period.   | * | * | * | * | * | * |
| (*Note: A2a-c should sum to equal the     | * | * | * | * | * | * |
| number reported in A1b).*                 | Y | Y | Y | Y | Y | F |
|                                           | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Explain how "academic year" is        | [ | [ | [ | [ | [ | [ |
|     defined in your project's IHE in the  | ] | ] | ] | ] | ] | ] |
|     space provided below:                 | { | { | { | { | { | { |
|                                           | . | . | . | . | . | . |
|                                           | m | m | m | m | m | m |
|                                           | a | a | a | a | a | a |
|                                           | r | r | r | r | r | r |
|                                           | k | k | k | k | k | k |
|                                           | } | } | } | } | } | } |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number of CAMP first academic year    |   | 3 | 3 | 2 |   |   |
|     completers. **(Obj. 1 (Target: 60).** |   | 9 | 7 | 9 |   |   |
|                                           |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number of withdrawals.                |   |   |   |   |   |   |
|                                           |   |   |   |   |   |   |
|                                           |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| d.  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       |   |   |   |   |   |   |
|     complete their first academic year of |   |   |   |   |   |   |
|     college and have returned in the      |   |   |   |   |   |   |
|     subsequent budget period to continue  |   |   |   |   |   |   |
|     instructional services).              |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

+-------------------------------------------+---+---+---+---+---+---+
| A3. Status of CAMP first academic year    | * | * | * | * | * | * |
| completers 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 CAMP first     |   |   |   |   |   |   |
|     academic year completers who          |   |   |   |   |   |   |
|     continued in postsecondary education  |   |   |   |   |   |   |
|     programs. (This amount should not be  |   |   |   |   |   |   |
|     greater than the amount in A2a        |   |   |   |   |   |   |
|     above.) **(Obj. 2** **Target: 60).**  |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

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

  A4. Number of CAMP first academic year                                                    
  completers you were able to track for                                                     
  follow-up data.                                                                           
  -------------------------------------------- -------- -------- -------- -------- -------- -------

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

  A5. Number of [your]{.underline} former CAMP                                              
  students who graduated from college with                                                  
  Bachelor's Degree this budget period.                                                     
  -------------------------------------------- -------- -------- -------- -------- -------- -------

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

  A6. Number of former CAMP students who                                                    
  graduated from college with Associate's                                                   
  Degree this budget period.                                                                
  -------------------------------------------- -------- -------- -------- -------- -------- -------

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

  A7. Number of former CAMP students who                                                    
  transferred to other IHEs.                                                                
  -------------------------------------------- -------- -------- -------- -------- -------- -------

+-------------------------------------------+---+---+---+---+---+---+
| A8. Time to completion for CAMP first     | * | * | * | * | * | * |
| academic year completers from question    | * | * | * | * | * | * |
| A2a above. *(Note: A8a-c should sum to    | Y | Y | Y | Y | Y | F |
| equal the number reported in A2a).*       | 1 | 2 | 3 | 4 | 5 | * |
|                                           | * | * | * | * | * | * |
|                                           | * | * | * | * | * |   |
+-------------------------------------------+---+---+---+---+---+---+
| a.  Number of CAMP first academic year    |   |   |   |   |   |   |
|     completers who completed their first  |   |   |   |   |   |   |
|     academic year of college within one   |   |   |   |   |   |   |
|     calendar year in your project.        |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| b.  Number of CAMP first academic year    |   |   |   |   |   |   |
|     completers who completed one year of  |   |   |   |   |   |   |
|     college after more than one year, but |   |   |   |   |   |   |
|     within two calendar years in your     |   |   |   |   |   |   |
|     project.                              |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+
| c.  Number of CAMP first academic year    |   |   |   |   |   |   |
|     completers who completed one year of  |   |   |   |   |   |   |
|     college after more than two calendar  |   |   |   |   |   |   |
|     years in your project.                |   |   |   |   |   |   |
+-------------------------------------------+---+---+---+---+---+---+

B**. CAMP Project Student Participant Information**

+------------------------------------------+---+---+---+----+---+---+
| B1. [Supportive &                        | * | * | * | ** | * | * |
| Instructional]{.underline} Services and  | * | * | * | Y4 | * | * |
| [Financial]{.underline} Services         | Y | Y | Y | ** | Y | F |
| provided only by CAMP funds and received | 1 | 2 | 3 |    | 5 | * |
| by CAMP-enrolled students during the     | * | * | * |    | * | * |
| budget period. This count does not       | * | * | * |    | * |   |
| include other services provided to CAMP  |   |   |   |    |   |   |
| students by the university.              |   |   |   |    |   |   |
+==========================================+===+===+===+====+===+===+
| a\. Count the total number of CAMP       |   |   |   |    |   |   |
| [students]{.underline} served with the   |   |   |   |    |   |   |
| following types of [supportive &         |   |   |   |    |   |   |
| instructional]{.underline} services.     |   |   |   |    |   |   |
| Students may appear in more than one row |   |   |   |    |   |   |
| if they received more than one service.  |   |   |   |    |   |   |
| (Calculation of total hours received or  |   |   |   |    |   |   |
| visits received, etc. are not            |   |   |   |    |   |   |
| necessary).                              |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 1\. Counseling or guidance services to |   |   |   |    |   |   |
| > CAMP students (personal, academic, and |   |   |   |    |   |   |
| > career services provided in support of |   |   |   |    |   |   |
| > school-life balance and other          |   |   |   |    |   |   |
| > psycho-social aspects of college       |   |   |   |    |   |   |
| > completion).                           |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 2\. Tutoring (services provided in     |   |   |   |    |   |   |
| > support of a specific curriculum,      |   |   |   |    |   |   |
| > course, or course of study).           |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 3\. Mentoring or coaching (services    |   |   |   |    |   |   |
| > provided in support of general         |   |   |   |    |   |   |
| > academic career).                      |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 4\. Health services.                   |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 5\. Assistance with special            |   |   |   |    |   |   |
| > admissions.                            |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 6\. Other                              |   |   |   |    |   |   |
| > \_\_\_\_\_\_\_\_\_\_\_\_\_\_\          |   |   |   |    |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| b\. Count the total number of CAMP       |   |   |   |    |   |   |
| [students]{.underline} served with the   |   |   |   |    |   |   |
| following types of                       |   |   |   |    |   |   |
| [financial]{.underline} services. Please |   |   |   |    |   |   |
| indicate the number of                   |   |   |   |    |   |   |
| [students]{.underline} receiving support |   |   |   |    |   |   |
| services. Students may appear in more    |   |   |   |    |   |   |
| than one row if they received more than  |   |   |   |    |   |   |
| one service. (Calculation of total hours |   |   |   |    |   |   |
| received or visits received, etc. are    |   |   |   |    |   |   |
| not necessary.)                          |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 1\. Stipends.                          |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 2\. Scholarships.                      |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 3\. Transportation.                    |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 4\. Career-oriented work-study.        |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 5\. Books and supplies.                |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| > 6\. Tuition and fees.                  |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| 7\. Room and Board.                      |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| 8\. Other                                |   |   |   |    |   |   |
| \_\_\_\_\_\_\_\_\                        |   |   |   |    |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| d\. Number of [students]{.underline}     |   |   |   |    |   |   |
| receiving referrals to other services.   |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+
| e\. Total number of                      |   |   |   |    |   |   |
| [referrals]{.underline} to other         |   |   |   |    |   |   |
| services.                                |   |   |   |    |   |   |
+------------------------------------------+---+---+---+----+---+---+

+---------------------------------------+----+----+----+----+----+----+
| B2. Characteristics of the CAMP       | ** | ** | ** | ** | ** | *  |
| enrolled students during this budget  | Y1 | Y2 | Y3 | Y4 | Y5 | *F |
| period. *(Note: \[B2a and B2b\] and   | ** | ** | ** | ** | ** | ** |
| \[B2c and B2d\] should sum to equal   |    |    |    |    |    |    |
| the number reported in A1b).*         |    |    |    |    |    |    |
+=======================================+====+====+====+====+====+====+
| a.  Number of students who report     |    |    |    |    |    |    |
|     themselves as male.               |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| b.  Number of students who report     |    |    |    |    |    |    |
|     themselves as female.             |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| c.  Number of students who are 21     |    |    |    |    |    |    |
|     years old or younger.             |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| d.  Number of students who are over   |    |    |    |    |    |    |
|     21 years old.                     |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| e.  Number of students who travel 20  |    |    |    |    |    |    |
|     miles or more to attend           |    |    |    |    |    |    |
|     post-secondary education program  |    |    |    |    |    |    |
|     classes. Please count all         |    |    |    |    |    |    |
|     students who attend the program   |    |    |    |    |    |    |
|     whose home or permanent address   |    |    |    |    |    |    |
|     is 20 or more miles away. [^2]    |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| f.  Number of students who enrolled   |    |    |    |    |    |    |
|     during the budget period and      |    |    |    |    |    |    |
|     required placement in             |    |    |    |    |    |    |
|     developmental or remedial courses |    |    |    |    |    |    |
|     (i.e. courses that do count       |    |    |    |    |    |    |
|     toward graduation).               |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| g.  Number of students that were      |    |    |    |    |    |    |
|     admitted under special            |    |    |    |    |    |    |
|     admissions.                       |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| h.  Number of first generation        |    |    |    |    |    |    |
|     college students.                 |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| i.  Number of students who were       |    |    |    |    |    |    |
|     referred from MEP and accepted    |    |    |    |    |    |    |
|     into CAMP.                        |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| j.  Number of students who were       |    |    |    |    |    |    |
|     referred from HEP and accepted    |    |    |    |    |    |    |
|     into CAMP.                        |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| k.  Number of students who were       |    |    |    |    |    |    |
|     referred from NFJP and accepted   |    |    |    |    |    |    |
|     into CAMP.                        |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| l.  Number of students who were       |    |    |    |    |    |    |
|     referred from any other program   |    |    |    |    |    |    |
|     and accepted into CAMP.           |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| m.  Number of students who received   |    |    |    |    |    |    |
|     other financial services paid for |    |    |    |    |    |    |
|     by an agency or program other     |    |    |    |    |    |    |
|     than CAMP.                        |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| n.  Does your project screen students | Y  | Y  | Y  | Y  | Y  | Y  |
|     for English language development  |    |    |    |    |    |    |
|     placement? If "No," skip to       | N  | N  | N  | N  | N  | N  |
|     question C1. *Mark Y for yes, or  |    |    |    |    |    |    |
|     N for no.*                        |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+
| 1.  Number of ELL students who        |    |    |    |    |    |    |
|     enrolled during the budget period |    |    |    |    |    |    |
|     and had English as a second       |    |    |    |    |    |    |
|     language needs.                   |    |    |    |    |    |    |
+---------------------------------------+----+----+----+----+----+----+

**C. CAMP Project Services Information**

C1. Project Model Characteristics

+---------------------------------------------------+------------------+
| a.  Is this project a commuter or residential     | Commuter         |
|     project or a combination of both?             |                  |
|                                                   | Residential      |
|                                                   |                  |
|                                                   | Combination of   |
|                                                   | commuter and     |
|                                                   | residential      |
+---------------------------------------------------+------------------+
| b.  Is this project in a four-year or two-year    | Four-Year        |
|     institution?                                  | Institution      |
|                                                   |                  |
|                                                   | Two-Year         |
|                                                   | Institution      |
+---------------------------------------------------+------------------+

C2. Project Personnel Characteristics

+----------------------------------------------------------+-----------+
| a.  Number of FTE administrative staff funded by the     |           |
|     CAMP grant.                                          |           |
+----------------------------------------------------------+-----------+
| b.  Number of FTE support staff (tutors, coaches,        |           |
|     mentors, counselors, etc.) funded by the CAMP grant. |           |
+----------------------------------------------------------+-----------+
| c.  Number of FTE support staff contributing to the      |           |
|     project's CAMP services, not funded by the CAMP      |           |
|     grant.                                               |           |
+----------------------------------------------------------+-----------+

C3. Test Information

  --------------------------------------------------------- -------------------------------
  a\. Does your project's IHE use SAT scores during the     Yes No
  intake process?                                           

  1\. What is the average score for all IHE students?       [               ]{.underline}

  2\. What is the range of scores for all IHE students?     [               ]{.underline}

  3\. What is the average score for CAMP students?          [               ]{.underline}

  4\. What is the range of scores for CAMP students?        [               ]{.underline}

  b\. Does your project's IHE use ACT scores during the     Yes No
  intake process?                                           

  1\. What is the average score for all IHE students?       [               ]{.underline}

  2\. What is the range of scores for all IHE students?     [               ]{.underline}

  3\. What is the average score for CAMP students?          [               ]{.underline}

  4\. What is the range of scores for CAMP students?        [               ]{.underline}

  c\. Does your project's IHE use a Student Placement Exam  Yes No
  for all students?                                         

  1\. What is the name of the Student Placement Exam?       [               ]{.underline}

  2\. What is the average score for all IHE students?       [               ]{.underline}

  3\. What is the range of scores for all IHE students?     [               ]{.underline}

  4\. What is the average score for CAMP students?          [               ]{.underline}

  5\. What is the range of scores for CAMP students?        [               ]{.underline}
  --------------------------------------------------------- -------------------------------

C4. Please describe, in a paragraph not to exceed 300 words, the nature
of project services with regard to a) services offered and b) major
collaborators (e.g., partners whose collaboration is necessary to
project implementation and success) and any other aspect of project
design that is a strong influence on service delivery and success.

+----------------------------------+-----------------------------------+
| **D. CAMP Project Goals and      |                                   |
| Objectives**                     |                                   |
+----------------------------------+-----------------------------------+
|                                  |                                   |
+----------------------------------+-----------------------------------+
| **Project Performance Objectives | **Project Year:** **(check one:   |
| Information**                    | Y1□ Y2□ Y3□ Y4□ Y5□ Fþ)**         |
|                                  |                                   |
| (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. CAMP Project Budget Information (see instructions)**

1.  Report budget expenditure data in items 8a. -- 8c. of the Cover
    Sheet per the **Instructions for Cover Sheet, Question 8.** Refer to
    the **Instructions for Section E** for applicable sub-instructions
    1.a. -- 1.d. and enter your applicable responses 1.a. -- 1.d here,
    below.

2.  **For Annual Performance Reports Only** -- Using the specific budget
    categories as in Form ED 524, comparatively report in column (a)
    your previously submitted revised budget amounts for this reporting
    period, identifying any amounts that include carryover funds from
    the previous budget period with an asterisk. In column (b) report
    your project's actual expenditures for this performance period.
    Additionally, briefly explain any difference in the total amounts of
    these two budget columns.

+---------------------------+--------------------+--------------------+
| Budget Categories         | \(a\)              | \(b\)              |
|                           |                    |                    |
|                           | Revised Budget     | Actual Expenditure |
|                           | Amounts \*         | Amounts            |
+---------------------------+--------------------+--------------------+
| 1\. Personnel             |                    |                    |
+---------------------------+--------------------+--------------------+
| 2\. Fringe Benefits       |                    |                    |
+---------------------------+--------------------+--------------------+
| 3\. Travel                |                    |                    |
+---------------------------+--------------------+--------------------+
| 4\. Equipment             |                    |                    |
+---------------------------+--------------------+--------------------+
| 5\. Supplies              |                    |                    |
+---------------------------+--------------------+--------------------+
| 6\. Contractual           |                    |                    |
+---------------------------+--------------------+--------------------+
| 7\. Construction          |                    |                    |
+---------------------------+--------------------+--------------------+
| 8\. Other                 |                    |                    |
+---------------------------+--------------------+--------------------+
| 9\. Total Direct Costs    |                    |                    |
| (lines 1-8)               |                    |                    |
+---------------------------+--------------------+--------------------+
| 10\. Indirect Costs\*     |                    |                    |
+---------------------------+--------------------+--------------------+
| 11\. Training Stipends    |                    |                    |
+---------------------------+--------------------+--------------------+
| 12\. Total Amounts (lines |                    |                    |
| 9-11)                     |                    |                    |
+---------------------------+--------------------+--------------------+

> \* Note: Mark your category amounts in this column (a) with an
> asterisk if the amount includes any carryover from the prior budget
> period. Also, report the amount of your total carryover that is
> included in the total-cell 12.(a).

If the total amounts in columns (a) and (b) are different, explain this
difference, below.

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

Do not include requests for budget revisions, supplemental funding or
changes to your application's

activities or in this performance report.

[^1]: Note: increasing percentages of CAMP participants completing the
    first year of their academic or postsecondary program 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 and meet the national GPRA targets.

[^2]: ***Note: Only count students who commute on a daily basis. Do not
    count students who relocate a significant distance (i.e., 800 miles)
    to participate in programming.***