> Report Period: 07/01/2006-06/30/2007
>
> State:

\*\*\*READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM\*\*\*

**Section 1. Budget Summary**

The number of recipients is the whole number of students that received
scholarships during the report period. For instance, if one student
receives \$750 and one student receives \$1500 during the report period,
the number of recipients is 2 and the grant funds awarded are \$2250.

  --- ----------------------------------------------------------- ---------
  A   **Carryover funds from previous years** (These were the     **\$**
      funds that were collected by the state after being          
      improperly disbursed or returned to the state in the        
      previous award period and were available for disbursement   
      during this report period.)                                 

  B   **Number of recipients awarded from carryover funds** (This 
      is the number of students who received a Byrd scholarship   
      during this report period from the carryover funds in 1A.)  

  C   **New grant funds provided by the U.S. Department of        **\$**
      Education for the current report period** (This amount      
      should match that on the most recent Grant Award            
      Notification letter from the U.S. Department of Education.) 

  D   **New grant funds awarded to recipients** (Of the new grant **\$**
      funds in 1C, these were the funds awarded by the state to   
      Byrd scholarship recipients during this report period.)     

  E   **Number of recipients awarded from new grant funds** (This 
      is the number of students who received a Byrd scholarship   
      during this report period from the new grant funds in 1C.)  

  F   **Total grant funds awarded** (These were the total funds   **\$**
      drawn down from the U.S. Department of Education during the 
      report year and awarded by the state to Byrd scholarship    
      recipients during this report period (1A+1D).)              

  G   **Total number of recipients** (This is the total number of 
      students who received a Byrd scholarship in this report     
      period (1B+1E).)                                            

  H   **Number of recipients receiving a full \$1500              
      scholarship** (This is the number of students who received  
      a full \$1500 Byrd scholarship in this report period.)      

  I   **Number of recipients receiving less than full \$1500      
      scholarship** (This is the number of students who received  
      less than a full Byrd scholarship in this report period     
      (1G-1H).)                                                   

  J   **Proposed carryover funds from this report period** (This  **\$**
      is the difference between the new grant funds provided by   
      the U.S. Department of Education for the current report     
      period and the new grant funds awarded to recipients        
      (1C-1D). All carryover funds from the previous year in 1A   
      should have been used first.)                               
  --- ----------------------------------------------------------- ---------

Section 2. Funds and recipients by type of postsecondary institution

The number of recipients is the whole number of students that received
scholarships during the report period. For instance, if one student
receives \$750 during the report period and one student receives \$1500
during the report period, the number of recipients is 2 and the grant
funds awarded are \$2250. The total number of recipients reported in 2A
below should equal that reported in 1G on page 1. The total funds
reported in 2B below should be the same as that reported in 1F on page
1.

+---------+-------+----------+-------+----------+---+-----+---+---------+
|         | In-   |          | Ou    |          | T |     |   |         |
|         | state |          | t-of- |          | o |     |   |         |
|         | in    |          | state |          | t |     |   |         |
|         | stitu |          | in    |          | a |     |   |         |
|         | tions |          | stitu |          | l |     |   |         |
|         |       |          | tions |          |   |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+
| Type of | N     | Funds    | N     | Funds    | N |     | F |         |
| inst    | umber | (\$)     | umber | (\$)     | u |     | u |         |
| itution | of    |          | of    |          | m |     | n |         |
|         | recip |          | recip |          | b |     | d |         |
|         | ients |          | ients |          | e |     | s |         |
|         |       |          |       |          | r |     | ( |         |
|         |       |          |       |          | o |     | \ |         |
|         |       |          |       |          | f |     | $ |         |
|         |       |          |       |          | r |     | ) |         |
|         |       |          |       |          | e |     |   |         |
|         |       |          |       |          | c |     |   |         |
|         |       |          |       |          | i |     |   |         |
|         |       |          |       |          | p |     |   |         |
|         |       |          |       |          | i |     |   |         |
|         |       |          |       |          | e |     |   |         |
|         |       |          |       |          | n |     |   |         |
|         |       |          |       |          | t |     |   |         |
|         |       |          |       |          | s |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+
| Public  |       |          |       |          |   |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+
| Private |       |          |       |          |   |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+
| Prop    |       |          |       |          |   |     |   |         |
| rietary |       |          |       |          |   |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+
| Total   |       |          |       |          | # |     | # |         |
|         |       |          |       |          | # |     | # |         |
|         |       |          |       |          | # |     | # |         |
|         |       |          |       |          | # |     | # |         |
|         |       |          |       |          | # |     |   |         |
|         |       |          |       |          |   |     | 2 |         |
|         |       |          |       |          | 2 |     | B |         |
|         |       |          |       |          | A |     |   |         |
+---------+-------+----------+-------+----------+---+-----+---+---------+

**Section 3: Number of graduates in this report period:**

The values in the table below are the numbers of recipients who received
a baccalaureate degree during the report period.

  --------------------------------------------------- -------------------
  In 4 years (8 semesters or 12 quarters) or less     

  In more than 4 years (8 semesters or 12 quarters)   
  --------------------------------------------------- -------------------

**Section 4. Scholarship recipient outcomes and status in this report
period:**

The values in the table below are the numbers of scholarship recipients
that meet the described criteria. The number reported in 4A below should
be the same as that reported in 1H on page 1. The number reported in 4C
below should be the same as that reported in 1I on page 1. The number of
recipients is the whole number of students that received scholarships
during the report period regardless of how much scholarship funding they
received.

<table>
<colgroup>
<col style="width: 9%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 9%" />
<col style="width: 5%" />
<col style="width: 9%" />
<col style="width: 2%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 9%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 6%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="2">College standing at the beginning of the report
period*</td>
<td colspan="2" rowspan="2">Received full $1500 scholarship</td>
<td colspan="12">Received less than full $1500 scholarship</td>
</tr>
<tr class="even">
<td>Graduated before the end of the report period</td>
<td>Received scholarship after first semester or quarter</td>
<td>Less than full-time status</td>
<td>Postponed or interrupted in accordance with established law</td>
<td colspan="2">Number of students with other reasons</td>
<td>Failed to submit required paperwork</td>
<td>Dropped out of school</td>
<td>Academic progress inadequate to maintain scholarship</td>
<td>Received more than $6,000 or exceeded time</td>
<td colspan="2">Total</td>
</tr>
<tr class="odd">
<td>First-year</td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>Sophomore</td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>Junior</td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>Senior</td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>Total</td>
<td><strong>4A</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>4B</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><h2 id="c">4C</h2></td>
<td></td>
</tr>
</tbody>
</table>

\* College standing is determined by the postsecondary institution and
is usually based on the number of credits earned.

**List reasons the students in 4B received less than the full \$1500
scholarship.**

Section 5. Students No Longer Financially Eligible:

> Of those students who received the full \$1500 scholarship in 4A,
> report the number(s) who will [not]{.underline} be eligible to receive
> a scholarship in the next reporting period due to receiving more than
> \$6,000 or exceeding the four-year maximum scholarship term (exclude
> graduates). \_\_\_\_\_\_\_

# Section 6. CERTIFICATION BY AUTHORIZED AGENCY OFFICIAL

> I certify that the information provided in this performance report is
> based upon information reflected in the official accounting and
> program records of the agency. Upon request, such records will be made
> available to the U.S. Secretary of Education or his/her delegate for
> review.

  ----------------------------- ---------------------- ------------------
  Name and Address of State                            
  Education Agency                                     

                                                       

  Telephone Number              Fax Number             E-mail Address

                                                       

  Name and Title of Authorized  Signature of           Date
  Official (please type)        Authorized Official    

                                                       

  Name of Contact Person --     Address (Street, City, 
  Recipient State Director      State, Zip Code)       

                                                       

  Telephone Number              Fax Number             E-mail Address

                                                       
  ----------------------------- ---------------------- ------------------

### 

### Frequency of Reports

The Robert C. Byrd Honors Scholarship Program Performance Report is
submitted annually. This report will cover your FY 2006 allotment for
scholarship awards between July 1, 2006 through June 30, 2007.

### Submission of Reports

The signed original of the Robert C. Byrd Honors Scholarship Program
Performance Report should be sent to:

Darryl G. Davis

Robert C. Byrd Honors Scholarship Program

U.S. Department of Education

1990 K Street, NW, Room 6051

Washington, DC 20006-8514

### Preparation of Reports

**[Section 1]{.underline}** -- Budget summary:

Enter the amount of funds and the number of recipients for each
category, as specified.

**[Section 2]{.underline}** -- Funds and recipients by type of
postsecondary institution:

Enter the total number of scholarship recipients and the total amount of
program funds awarded to those recipients for attendance at public,
private and proprietary in-state, and out-of-state institutions of
higher education.

**[Section 3]{.underline}** -- Number of graduates in this report
period:

Enter the number of students who graduated during the report period
after four years or less of postsecondary enrollment and enter the
number of students who graduated during the report period after more
than four years of postsecondary enrollment.

**[Section 4]{.underline}** -- Scholarship recipient outcomes and status
in this report period:

Enter the number of scholarship recipients that are designated by the
postsecondary institution to be of a first-year, sophomore, junior or
senior standing and that meet the following descriptions:

-   Received full \$1500 scholarship

-   Graduated before the end of the report period -- Students who
    graduated after receiving less than the full \$1500 scholarship
    during the report period

-   Received scholarship after first semester or quarter -- Students who
    did not receive scholarship funds in the first semester(s) or
    quarter(s) of the report year

-   Less than full-time status

-   Postponed or interrupted scholarship -- Students who were permitted
    to postpone or interrupt enrollment to pursue other opportunities
    such as an internship, mission, study abroad, etc. for at least one
    semester or quarter during the report year

-   Number of students with other reasons

-   Failed to submit required paperwork -- Students who failed to submit
    the required paperwork to prove academic standing and thus did not
    receive scholarship funds for at least one semester or quarter of
    the report year

-   Dropped out of school

-   Academic progress inadequate to maintain scholarship -- Students who
    failed to maintain satisfactory progress as determined by the
    institution of higher education

-   Received more than \$6,000 or exceeded time -- Students who were no
    longer eligible to receive scholarship funds in the final semester
    or quarter(s) of the report year because they exceeded the maximum
    time or funds (exclude graduates). Students may receive scholarship
    funds for a maximum of four years or receive up to \$6,000.

**[Section 5]{.underline}** -- Students No Longer Financially Eligible:

Provide the number of students who received the full \$1500 scholarship,
but will no longer be eligible to receive a scholarship in the next
report period due to receiving more than \$6,000 or have exceeded the
four-year maximum scholarship term (exclude graduates).

Students may receive scholarship funds for a maximum of four years or
receive up to \$6,000. Some students will not have graduated before
exceeding the maximum time or funds. Enter the number of students who
received the full \$1500 scholarship during the reporting year, but will
be ineligible for a Byrd scholarship in the next reporting year.

**[Section 6]{.underline}** -- Certification by Authorized Agency
Official:

An authorized official of the State educational agency that has a legal
agreement with the U.S. Department of Education to participate in the
Robert C. Byrd Honors Scholarship Program must sign the certification
statement. (NOTE: Since the State educational agency is the entity that
has legal responsibility for administration of the program, an
authorized official of that agency must sign this statement even if the
State Educational Agency has delegated certain administrative
responsibilities to another agency.

+-----------------------------------------------------------------------+
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|                                                                       |
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| (or 600 minutes) per response, including time to review instructions, |
| search existing data resources, and complete and review the           |
| information collection. **If you have any concerns regarding the      |
| accuracy of the time estimate(s) or suggestions for improving this    |
| form, please write to:** United States Department of Education,       |
| Washington, DC 20202-4651. **If you have comments or concerns         |
| regarding the status of your individual submission of this form,      |
| write directly to:** (Higher Education Programs/Institutional         |
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+-----------------------------------------------------------------------+