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### U.S. Department of Education, Office of Innovation and Improvement **School Leadership Program (SLP) Annual Performance Report Form, OMB # 1855**  **- 0019 6/30/201X**  **Cover Sheet**
Public Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 40 hours per response, including time for reviewing instr uctions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of in formation. The obligation to respond to this collection is required to obtain or retain benefit (20 USC 2151(b)). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Wash ington, DC 20210

- 4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1855

- 0019. Note: Please do not return the completed SLP APR to this address. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Office of Innovation and Improvement, Teacher Quality Programs, 400 Maryland Avenue, SW, Washington, DC 20202

- 6140. **Select One: [ ]**  **Annual Perform ance Report**  **[ ] Annual Perform ance Report Update**  **[ ] F inal Perform**  **ance Report** 

### General Information 1. PR/Award #: 2. Grantee NCEA ID#: (Block 5 of the Grant Award Notification

– 11 characters.) 3. Project Title: (Enter the same title as on the approved application.) 4. Grantee Name (Block 1 of the Gran t Award Notification.) : 5. Grantee Address (See instructions.) 6. Project Director (See instructions.) Name: Title: Phone #: ( )

- 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 Budget Information.)** 8. Budget Expenditures **Federal Grant Fu nds**  **Non -**  **Federal 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. I ndirect 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 I ndirect Cost Rate Agreement: From : / / To: / / (mm/dd//yyyy) Approving Federal agency: ED Other (please specify) : Ty pe of Rate (For Final Performance Reports Only) : Provisional Final Other (Please specify): d. For Restricted Rate Programs (check one)

– Are you using a restricted cost rate that:

Is included in your approved Indirect Cost Rate Agreement? Com plies with 34 CFR 76.564(c)(2)? 

### Human Subjects **(See instructions.)** 10. Is there Annual Certifi cation of Institutional Revie w Board (IRB) approval attached? Yes No N/A 

### Performance Measures Status and Certification **(See instructions.)** 11. Performance Measures Status2

a. Are complete data on performance measures for the current budget period included in the Project Narrative? Yes No b. If no, when will data be available and submitted to the ED? / / (mm/dd/yyyy) 12. To the best of my knowledge and belief, all data in this performance report are true and correct, and th e report fully discloses all known weaknesses concerning the accuracy, reliability, and completeness of the data. Name of Authorized Representative Title Signature of Authorized Representative DateProject Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### U.S. Department of Education, Office of In **novation and Improvement School Leadership Program (SLP) Annual Performance Report Form**  **Executive Summary (See instructions.)** Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### U.S. Department of Education, Office of Innovation and Improvement **School Leadership Program (SLP) Annual Performance Report F orm**  **1855 -**  **0019 Project Narrative**  **Section A. Project Information (See instructions.)**  **1. Please indicate the project year on which you are reporting:** Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 (1

- year, no cost extension) **2. Please provide the following inform**  **ation on the participants who were NEW to your project this year.** a. The total number of NEW project participants: b. The number of NEW project participants who are... Black or African American: White (non

- Hispanic): Hisp anic/Latino of any race:

Asian: American Indian or Alaska Native: Native Hawaiian or Other Pacific Islander

Two or more races:

Other: c. The number of NEW project participants who are employed... As principals: As assistant principals:

As teachers: In other school or district staff positions: In other positions within the field of education: In positions outside of the field of education: **3. Did any participants drop out of your project this year?** Yes No a. If yes, how many participants dropped out? b. If yes, what were the reasons participants gave for dropping out (use space below) ?Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### Section B. GPRA Measures **(See instructions.) Objective 1: To recruit, prepare, and support individuals from education or other fields**  **to become principals or assistant principals of schools in high**  **- need local educational agencies (LEAs).**  **1. Does your project recruit and prepare individuals to becom e principals or assistant principals**  **(please mark one) ?**  Yes. If yes, proceed to Performance Measure 1.1. No. If no, proceed to Objective 2, Question 1.

**2. Perform ance Measure 1.1: The percentage of School Leadership Program** **participants seeking certification who m eet**  **certification requirem ents to becom**  **e a principal or assistant princi pal.**  In the table below , enter the information requested for the current project year by group. A group is defined as all particip ants who started your project in a given year. Please see the instructions for more detailed information on reporting data for Performance Measure 1.1. **Group COLUMN A**  **Enter the # of SLP participants seeking**  **certification to becom e**  **an assistant principal or principal**  **COLUMN B**

**Enter the # of SLP participants who m**  **et certification**  **requirements for assistant principals or**  **principals COLUMN C** 

**Divide Column B by Column A, multiply by**  **100, and enter the percentage** 
**Group 1: All participants who started the project in year 1**  **(n=___) (Total enrolled in year 1) Group 2: All participants who**  **started the project in year 2 (n=___) (Total**  **enrolled in year 2) Group 3: All participants who**  **started the project in year 3 (n=___) (Total enrolled in year 3)**  **Group 4: All participants who started the project in year 4**  **(n=___) (Total enrolled in year 4) Group 5: Participants who**  **started the project in year 5**  **(n=___) (Total enrolled in year 5) Explanation of Progress for Perform**  **ance Measure 1.1.** (Use as many pages as necessary) In your explanation of progress for the current project year include:  Information about how data were colle cted  Explanation for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  Explanation of participants who received certification prior to entering the program, but were not yet serving in administrative positions.Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

6 **3. Perform ance Measure 1.2: The percentage of School Leadership Program** **participants certified through the funded project who are hired as an assistant principal of a school in a high**  **- need LEA.**  In the table below , please complete the information for the current project year by group. A group is defined as all participants who started your project in a given year. Please see the instructions for more detailed information on reporting data for Perform ance Measure 1.2. **Group COLUMN A**  **Ente r the # of SLP**  **participants certified through the project to**  **becom e an assistant**  **principal or principal COLUMN B**  **Enter the # of SLP participants who have**  **been hired as an assistant principal in a**  **high -**  **need LEA COLUMN C** 

**Divide Column B by Column A, multipl** **y by 100, and enter the**  **percentage Group 1: All participants who**  **started the project in year 1 (n=___) (Total enrolled in year 1)**  **Group 2: All participants who started the project in year 2**  **(n=___) (Total enrolled in year 2) Group 3: All particip**  **ants who started the project in year 3**  **(n=___) (Total enrolled in year 3) Group 4: All participants who**  **started the project in year 4 (n=___) (Total enrolled in year 4)**  **Group 5: Participants who started the project in year 5**  **(n=___) (Total enrolled in year 5)**  **Explanation of Progress for Perform ance Measure 1.2.**  (Use as many pages as necessary) In your explanation of progress for the current project year include:  Information about how data were collected  Explanations for any missing data  An expl anation for why progress was not made, if applicable, and steps for addressing the issue  Explanation of participants who received certification prior to entering the program, but were not yet serving in administrative positions (number of participants and num ber who were hired as an assistant principal in a high

- need LEA after participating in the SLP funded program.)Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

7 **4. Perform ance Measure 1.3: The percentage of School Leadership Program** **participants certified through the funded project who are hired as**  **a principal of a school in a high -**  **need LEA.** In the table below , please complete the information for the current project year by group. A group is defined as all particip ants who started your project in a given year. Please see the instructions for more det ailed information on reporting data for Performance Measure 1.3. **Group COLUMN A**  **Enter the # of SLP participants certified**  **through the project to becom**  **e an assistant principal or principal**  **COLUMN B Enter the # of SLP**  **participants who have been hired as a**  **p rincipal in a high**  **** **need LEA COLUMN C** 

**Divide Column B by Column A, multiply by**  **100, and enter the percentage**  **Group 1: All participants who started the project in year 1**  **(n=___) (Total enrolled in year 1) Group 2: All participants who**  **started the proj ect in year 2**  **(n=___) (Total enrolled in year 2) Group 3: All participants who**  **started the project in year 3 (n=___) (Total enrolled in year 3)**  **Group 4: All participants who started the project in year 4**  **(n=___) (Total enrolled in year 4) Group**  **5: Participants who started the project in year 5**  **(n=___) (Total enrolled in year 5) Explanation of Progress for Perform**  **ance Measure 1.3.** (Use as many pages as necessary) In your explanation of progress for the current project year include:  Informati on about how data were collected  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  Explanation of participants who received certification prior to entering the program, but wer e not yet serving in administrative positions (number of participants and number who were hired as a principal in a high

- need LEA after participating in the SLP funded program)Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

8 **5. Perform ance Measure 1.4: The percentage of School Leadership Program** **parti cipants who are hired as a principal or**  **assistant principal of a school in a high -**  **need LEA and remain in that position for at least 2 years.** Reporting on this performance measure starts in year 3. In the table below , please complete the information for the current project year (starting in year 3) by group. A group is defined as all participants who started your project in a given year. Please see th e instructions for more detailed information on reporting data for Performance Measure 1.4. **Group COLUMN A**  **E nter the # of SLP**  **participants certified through the project**  **and hired as an assistant principal or**  **principal 2 years ago COLUMN B**  **Enter the # of SLP participants still in an**  **assistant principal or principal position in**  **the sam e high**  **- need**  **LEA COLUMN C** 

**Div ide Column B by**  **Column A, multiply by 100, and enter the**  **percentage**
**Group 1: All participants who started the project in year 1**  **(n=___) (Total enrolled in year 1) Group 2: All participants who**  **started the project in year 2 (n=___) (Total enrolled in**  **year 2) Group 3: All participants who**  **started the project in year 3 (n=___) (Total enrolled in year 3)**  **Group 4: All participants who started the project in year 4**  **(n=___) (Total enrolled in year 4) Group 5: Participants who**  **started the project in year 5**  **(n=___) (Total enrolled in year 5) Explanation of Progress for Perform**  **ance Measure 1.4.** (Use as many pages as necessary) In your explanation of progress for the current project year include:  Information about how data were collected  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  Explanation of participants who received certification prior to entering the program, but were not yet serving in administrative positions (number of participants hired as an assistant principal or principal in a high

- need LEA after participating 2 years ago and number still in an assistant principal or principal position in the same high

- need LEA)Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### Objective 2: To train and support pri **ncipals and assistant principals from schools in high -**  **need local educational agencies (LEAs) in order to improve their skills and increase retention.**  **1. Does your project train and support currently practicing principals or assistant principals who did no t seek and/or obtain**  **their certification through your project (please mark one)**  **?** Yes. If yes, proceed to Performance Measure 2.1. No. If no, proceed to Section C: Project Measures.

**2. Perform ance Measure 2.1: The percentage of principals and ass**  **istant principals from schools in high**  **- need LEAs who**  **participated in the School Leadership Program -**  **funded professional development activities who showed an increase in their pre**  **- post scores on a standardized measure of principal skills.**  Note: participants participating in one

- time professional development activities should not be included in this measure. In the table below , please complete the information for the current project year by group. A group is defined as all particip ants who started your projec t in a given year. Please use the spreadsheet provided by SLP to determine the number of participants who showed an increase from their pre

- to post
- test scores. For more detailed information, see the instructions for Performance Measure 2.1.

**Group COLUMN**  **A**

**Enter the # who com** **pleted project activities**  **COLUMN B**

**Enter the # of SLP participants with pre**  **** **and post -**  **test scores COLUMN C** 

**Enter the # of SLP participants who**  **showed an increase in their pre**  **- post scores**  **COLUMN D**

**Divide Column C by Column B, multiply**  **b y 100, and enter the**  **percentage Group 1: All participants who**  **started the project in year 1 Group 2: All participants who**  **started the project in year 2 Group 3: All participants who**  **started the project in year 3 Group 4: All participants w**  **ho started the project in year 4**  **Group 5: Participants who started the project in year 5**  **Explanation of Progress for Perform ance Measure 2.1.**  (Use as many pages as necessary) In your explanation of progress for the current project year include:  Information about how data were collected including what, when, and how pre

- and post

- tests were administered  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  A description of what is considered as completion of the program (e.g., length of program and expected level of participation)Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

10 **3. Perform ance Measure 2.2: The percentage of principals and assistant principals from** **schools in high -**  **need LEAs who participated in the Schoo**  **l Leadership Program -**  **funded professional development activities who rem ained in their**  **administrative position for at least 2 years.** Reporting on this performance measure starts in year 3. In the table below , please complete the information for the current project year (starting in year 3) by group. A group is defined as all participants who started your project in a given year. The 2 years s hould be counted starting the day after a participants completes the project. Please see the instructions for more detailed information on reporting data for Performance Measure 2.2. **Group COLUMN A** 

**Enter the # of SLP participants who**  **com pleted the project 2**  **years ago COLUMN B** 

**Enter the # of SLP participants still in an**  **assistant principal or principal position in**  **the sam e high**  **- need**  **LEA COLUMN C** 

**Divide Column B by Column C, multiply by**  **100, and enter the percentage** 
**Group 1: All participants who started the project in year 1**  **Group 2: All participants who started the project in year 2**  **Group 3: All participants who started the project in year 3**  **Group 4: All participants who started the project in year 4**  **Group 5: Participants who started the project in year 5**  **Explanation of Progress for Perform ance Measure 2.2.**  (Use as many pages as necessary) In your exp lanation of progress for the current project year include:  Information about how data were collected  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  A description of what is considered as completion of the program (e.g., length of program and expected level of participation)  For program activities that are conducted with the same group of participants over a 4 or 5

-year period, report the number of these participants and the num

ber remaining in their position in the final year of the grantProject Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### Section C. Project Measures **(See instructions.)** Use the tables in Section C to report on any project measures included in your application. Please see the instructions for more detailed i nformation on reporting data for Project Measures. 

### Project Objective 1: **1.a. Perform ance Measure:**  **Target A**  **c tual Perform**  **ance Data Raw**  **Number Ratio**  **% Raw**  **Number Ratio**  **% /**  **/**

**Explanation of Progress.** (Use as many pages as necessary) In your explanation of progress for the current project year include:  Information about how data were collected  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  Information about how data have been used to inform project improvementsProject Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

12 **1.b. Perform ance Measure:**  **Target A**  **c tual Perform**  **ance Data Raw**  **Number Ratio**  **% Raw**  **Number Ratio**  **% /**  **/**

**Explanation of Progress.** (Use as many pages as necessary) In your explanation of pro gress for the current project year include:  Information about how data were collected  Explanations for any missing data  An explanation for why progress was not made, if applicable, and steps for addressing the issue  Information about how data have been use d to inform project improvementsProject Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### U.S. Department of Education, Office of Innovation and Improvement **School Leadership Program Grant Performance Report**

**Budget Information Section A. Budget Summary**  **(See instructions.)** Please use the table below to report on the Federal and non

- Federal funds (e.g., in

- kind contributions) expended during the current budget period.
**Budget Categories COLUMN A**  **Federal Funds (SLP Funds)**  **COLUMN B**

**Non -**  **Federal Funds COLUMN C**  **Total (Column A+B)**  1. Personnel 2. Fringe Benefi ts 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 Costs (lines 9

- 11)Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### Section B. Budget Narrativ **e (See instructions.)** Project Name: ______

_____________________ PR/Award #: _____________________ Reporting Period: __________________

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### U.S. Department of Education, Office of Innovation and Improvement **School Leadership Program Grant Performance Report**

**Additional Information (See instructions.)**