Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 1 -

College Assistance Migrant Program

U.S. Department of Education

Annual Performance Report Form and

Final Performance Report 

Sample University

S149A_ _ _ _ _ _

Introduction

The College Assistance Migrant Program (CAMP) is intended to assist migrant and seasonal farm worker

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: increase1)

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, or 

the number actually served (whichever is greater), MINUS the number of persisters. 

For example:

a. For grantees who actually serve LESS than the number funded to be served or serve

exactly the total number funded to be served

Project-level GPRA Measure 1= total number of CAMP first academic year completers 

 [total no. funded to be served minus total number of persisters]

b. For grantees who actually serve MORE than the number funded to be served:

Project-level GPRA Measure 1= total number of CAMP first academic year completers

 [total no. actually served minus total number of persisters]

 

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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 2 -

Example:

Grant 

Year

Incoming Students Outgoing Students

GPRA 1.1 

(Percent 

completing 

1

st year of 

college)

Total 

Funded New

Returning 

from

Previous 

Year

Total 

Funded

CAMP 

first 

academic 

year 

completers

Withdrawals

Persisters 

(coming 

back in 

subsequent 

year)

Year 1 100 100 0 100 65 30 5 68%

Year 2 100 95 5 100 70 25 5 74%

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 Year

Total # of 

CAMP first 

academic year 

completers

Total # of CAMP first academic year completers

who continued in Postsecondary Education 

Programs

GPRA 2.1 (percent 

achieving 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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 3 -

Efficiency Measure 1 of 2: Project success efficiency ratios are calculated as, per budget period, the

total budget awarded for that budget period divided by the number of CAMP first academic year 

completers that continue in post-secondary education.

Efficiency Measure 2 of 2: Project services efficiency ratios are calculated as, per budget period, the 

total budget awarded for that budget period divided by the number of students served in CAMP.

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 instructions, searching 

existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 

information. The obligation to respond to this collection is required to obtain or retain benefit (Higher Education 

Act of 1965, as amended, Title IV, Sec. 418A; 20 U.S.C. 1070d-2). 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, 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 or email ICDocketMgr@ed.gov and reference the OMB 

Control Number 1810-0689. 

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 5th 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 5th 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 – GPRA 1 Documentation and Additional Information

Data Utilization

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

program office:
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 4 -

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/Item 2

-- Annual and Final Performance Reports:

Please note that the EMAPS reporting field for the National Center for Education Statistics (NCES) ID

number/Item 2 is not writable and it defaults to “0”/zero. You are not required to report the NCES ID 

number in EMAPS, but the Office of Migrant Education recommends that you locate and record it for 

your records.

Please Note: 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. Grantees that are State Educational Agencies (SEA) should locate and record their state's FIPS 

(Federal Information Processing Standards) code in lieu of the NCES ID number

To locate your NCES ID number or FIPS code, please go to the applicable website listed below. 

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. 

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:
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 5 -

Due Date: Annual performance reports must be submitted by 5th 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 5th 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. – 8b. 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 current budget period to date (i.e., through 30 days 

before the due date of this report) in item 8a. 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 final 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 final budget period. 

 Report your actual budget expenditures for the entire project period (performance 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 project period. Your project period (performance period) 

start and end dates are found in Block 6 of the GAN.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 6 -

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

 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. 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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 7 -

Instructions for Sections A, B, and C

 If the value to be reported is zero, then enter a “0” in the cell; do not leave the cell blank.

 If the data prompt to be reported is not applicable to your project, then enter “N/A” in the cell; do 

not leave the cell blank.

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
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 8 -

Instructions for Section A – CAMP Project Statistics and Reporting for GPRA

Section A collects data on the number of students served and the number of students achieving program 

and project objectives. Items from Section A are used to calculate GPRA and efficiency measures.

Item A1 

Item A1 requests information on the number of students served during the budget period. Item 

A1a requests data on the number of students that the project was funded to serve. Item A1b requests data 

on the number of students actually served in first academic year college instruction, which is further 

disaggregated in items A1b1 and A1b2 into the number of students served in first academic year college 

instruction who were new participants and returning participants, respectively.

Definitions

 Budget Period: 12-month period of time beginning on the date found in Block 6 of the GAN. 

 Number funded to be served: Number of participants officially funded by the CAMP grant to be 

enrolled in CAMP instruction in your CAMP project in this budget period. 

 Number served in CAMP instruction: The number of CAMP eligible students who completed intake 

and were enrolled and attending college courses past the Add/Drop deadline assigned by the project’s 

IHE.

 New participant: The number of CAMP eligible students who were new to the project (i.e. not 

enrolled in CAMP services in the immediately previous budget period), 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.) 

Note: 1.) Students who participated in CAMP services during budget periods other than the 

immediately previous budget period are considered “New Participants.”

2. This count would also include any students who participated in CAMP services in the immediately 

previous budget period, but were not counted as persisters at the end of that budget period because 

they did not enroll in the CAMP services during the current budget period until after the APR was 

submitted on December 1.

 Returning participant: The number of CAMP first academic year college eligible students who met 

the following criteria:

o completed intake in the budget period immediately previous to the one being reported, 

o did not complete first academic year college in the budget period immediately previous to the 

one being reported, and

o was enrolled and attending CAMP first academic year college instruction past the Add/Drop 

deadline assigned by the project’s IHE within the reported budget period. (This is a subset of 

the number served.)

Note: 1) This count should equal the number of persisters from the budget period immediately 

previous to the one being reported. In other words, the previous reporting period’s persisters

are the current year’s returning students. 

2) Students from the immediately previous budget period who returned to the reported budget 

period after the 5th due date for the APR, must be reported as “New Participants” in the reported 

budget period.

3) Similarly, students who return to CAMP in the reported budget period from any other budget 

period other than the immediately previous budget period are to be reported as “New 

Participants” in the reported budget period.

4. Projects in Year 1 of the grant will have no returning participants.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 9 -

Data quality check

 The number of students reported in items A1b1 and A1b2 should sum exactly to the number of 

students reported in item A1b (no. served). 

 The number of returning students (item A1b2) should equal the number of persisters reported in Item 

A2d in the previous year’s APR.

Reporting Block, Item A1 (For illustration purposes only; do not report data here)

A1. Number of students served during budget period. Y1 Y2 Y3 Y4 Y5 F

a. Number funded to be served. 60 60 60 60 

b. Number served in college courses (Note: A1b1 + A1b2 

should sum to equal A1b). 48 60 60

1. Number served who were new participants (first 

academic year in CAMP) (subset of A1b).

2. Number served who were returning participants (not 

first academic year in CAMP) (subset of A1b).

Item A2

Item A2 collects data on the status of student participants at the end of the reported budget period. 

Item A2a requests the definition of “first academic year” as it is defined by your project’s IHE. Item A2b 

requests data on the total number of students who completed their first academic year of college during 

the reported budget period (GPRA 1) while item A2c requests data on the total number of students who 

withdrew from the project. Item A2d requests data on the number of persisters who returned for services 

in the subsequent year. Note that students may be classified into one status group only (i.e., provide an 

unduplicated count of students). 

All CAMP projects are also required to submit to OME, as a supplement to their APR, 

a list of CAMP students who completed their first year at the IHE (as defined by that IHE) during the 

reporting period. This documentation supports the information reported in item A2b (GPRA I). The list 

should include:

o Students' names,

o Student ID numbers, and 

o A statement that these students were enrolled in the CAMP program and completed their first 

year at the IHE during the reporting period.

This list must be verified and signed by the IHE’s Registrar. This list should be uploaded as an 

attachment in Section F in EMAPS, via PDF, WORD, or Excel.

Note: If the program did not establish a target number of CAMP first academic year completers in its 

application, do not write in a target in item A2b (no. of first academic year completers).

Definitions

 First academic year: “First Academic Year” will be defined by the IHE, in which the CAMP student 

is currently enrolled. (Please provide your IHE’s definition of “academic year” in the space provided 

in section A2a of the APR.)
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 10 -

 CAMP first academic year completers: The number of CAMP eligible students who complete their 

first academic year. The “First Academic Year” will be defined by the IHE, in which the CAMP 

student is currently enrolled. To best capture this data, the number of students 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.

 Withdrawals: The number of CAMP eligible students who:

o completed intake and was enrolled and attending college courses past the IHE’s Add/Drop 

deadline assigned by the project’s IHE, but 

o left the CAMP program without completing the first academic year of college, and 

o did not re-enroll for instruction in the subsequent budget period. 

This count also should include students who earned some college credits, but did not complete the 

first academic year of college. (A withdrawal indicates that students have left the project, or have not 

re-enrolled in the subsequent budget periods for whatever reason.)

 Persisters: The number of CAMP first academic year college eligible students who: 

o completed intake and were enrolled and attending college courses past the Add/Drop deadline 

assigned by the project’s IHE, but 

o did not complete their first academic year of college, however,

o re-enrolled for continuing instructional services in support of completing their first academic 

year of postsecondary education in the subsequent budget period prior to the December 1st

APR submission due date.

 Target Number of CAMP First Academic Year Completers: the target for total number of first 

academic year completers served over the entire project period, which was established by each project 

in its approved application. 

 “In Good Standing”: “In good standing” will be defined by the IHE, in which the CAMP student is 

currently enrolled. Even though “in good standing” is included in GPRA Objective 1, please note 

that “in good standing” is not a requirement of the measurement for GPRA Objective 1.

Data quality checks

 The sum of items A2b-d should equal the count reported in item A1b (no. served).

 The number of persisters reported here would be equal to the participants in the subsequent budget 

period’s APR.

Reporting Block, Item A2 (For illustration purposes only; do not report data here)

A2. Status at the end of budget period. (Note: A2b-d should 

sum to equal the number reported in A1b). Y1 Y2 Y3 Y4 Y5 F

a. Explain how “academic year” is defined in your project’s 

IHE in the space provided below:

b. Number of CAMP first academic year completers. (Obj. 1 

National Target: 86%) (GPRA 1) 39 37 29

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 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 11 -

not yet complete their first academic year of college and 

have returned in the subsequent budget period to continue 

instructional services).

Item A3 (GPRA 2)

Item A3a collects data on the status of CAMP first academic year completers at the end of the 

budget period (GPRA 2). The count reported in item A3a is a subset of the total number of first academic 

year completers who received follow-up (reported on in Item A4). This count is a subset or equal to the 

count reported in A2b (no. of CAMP first academic year completers). As a subset, the count reported in 

item A3a should be equal to or less than the count reported in Item A4, which should be equal to or less 

than the count reported in Item A2b (no. of CAMP first academic year completers).

Completion of Item A3a requires follow-up with first academic year completers; data regarding follow-up 

is described in Item A4. 

Note: If the program did not establish a target number of CAMP first academic year completers who 

continued in postsecondary education in its application, do not write in a target in item A3a.

Definitions 

 Continuing CAMP First Academic Year Completers: Of those students who completed their first 

academic year of college in this budget period, the number who continued in postsecondary education 

programs. This measure should be taken any time after the first academic year of college is 

completed and before the performance report is due, and should be based on actual enrollment and 

not on anticipated enrollment. 

 Target number of CAMP first academic year completers who continued in postsecondary 

education programs: the target for total number of CAMP first academic year completers who 

continued in postsecondary education programs. 

Data quality checks

 The count reported in Item A3a should be equal to or less than the count reported in Item A4.

 The count reported in Item A3a cannot be greater than the count reported in Item A2b (no. of first 

academic year completers).

Reporting Block, Item A3a (For illustration purposes only; do not report data here)

A3. Status of CAMP first academic year completers from 

question A2b above at the end of budget period. Y1 Y2 Y3 Y4 Y5 F

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 A2b above.) (Obj. 2 National Target: 84%) 

(GPRA 2)

Item A4

Item A4 collects data on the number of CAMP first academic year completers for whom followup data was collected. The count reported in item A4 cannot be greater than the count reported in Item 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 12 -

A2b (no. of first academic year completers). The count reported in Item A4 is the number of CAMP first 

academic year completers with whom follow-up contact was successfully made. Follow- up must be 

attempted with every CAMP first academic year completer. 

Definition

 No. of CAMP First Academic Year Completers you were able to track for follow-up data: The 

program office’s expectation is that all CAMP first academic year completers will receive follow-up 

to determine if they continued in postsecondary education programs. Follow-up should occur in a 

timely fashion (i.e., within 90 days of the end of the budget period), such that annual performance 

reporting can be completed. 

Reporting Block, Item A4a (For illustration purposes only; do not report data here)

Y1 Y2 Y3 Y4 Y5 F

A4. Number of CAMP first academic year completers you were able 

to track for follow-up data

Item A5 –A7

Items A5 – A7 collects data on the status of CAMP first academic year completers at the end of the 

budget period. Completion of Items A5 – A7 requires follow-up with CAMP first academic year 

completers; data regarding follow-up is described in Item A4. 

Definition 

 Former CAMP Students: The number of students who participated in your CAMP 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. This count may also include students who 

participated in your project from a previous 5 year grant cycle.

Y1 Y2 Y3 Y4 Y5 F

A5. Number of your former CAMP students who graduated from 

college with Bachelor’s Degree this budget period.

Y1 Y2 Y3 Y4 Y5 F

A6. Number of your former CAMP students who graduated from 

college with an Associate’s Degree this budget period.

Y1 Y2 Y3 Y4 Y5 F

A7. Number of your former CAMP students who transferred to 

other IHEs.

Item A8

Item A8 collects data on the amount of time necessary for first academic year college completion by 

successful project participants who completed their first academic year of college in the reported budget 

period. Items A8a-c request unduplicated counts of the number of CAMP first academic year completers 

who completed their first academic year of college within one year, between one and two years, and after 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 13 -

more than two years in the project, respectively. Each CAMP first academic year completer will be 

classified into one group. Note that follow-up with CAMP first academic year completers should not be 

necessary to report these counts. Rather, project documentation should contain the relevant records 

necessary to complete these items.

Data quality check

 The counts reported in Items A8a-c should sum to the count reported in Item A2b (no. of CAMP first 

academic year completers).

Reporting Block, Item A8 (For illustration purposes only; do not report data here)

Instructions for Section B – CAMP Project Student Participant Information

Item B1

Item B1 collects data on the number of students who received Supportive, Instructional, and 

Financial Services received by students enrolled in CAMP project services in the reported budget period. 

Items B1a-d request data on:

 Total number of students receiving varied Supportive and Instructional services,

 Total number of students receiving varied Financial services

 Total number of students receiving referrals to other services, and

 Total number of referrals made to students

Definitions

 Supportive and Instructional Services: CAMP-funded services provided to CAMP students in 

support of their first academic year that do not involve giving money directly to students. This count 

does not include other services provided to CAMP students by the university. Examples include 

personal, academic & career counseling, tutoring, mentoring, health services, and assistance with 

special admissions. 

 Financial Services: CAMP-funded, monetary services provided to CAMP students in support of their 

first 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.

 Tutoring: additional instructional services provided by CAMP in support of a specific curriculum, 

course or course of study.

A8. Time to completion for CAMP first academic year 

completers from question A2b above. (Note: A8a-c should sum 

to equal the number reported in A2b). Y1 Y2 Y3 Y4 Y5 F

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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 14 -

 Mentoring or coaching: advisory services provided by CAMP in support of general academic career 

and post-first academic year college placement.

 Counseling or guidance services: services provided by CAMP in support of work-life balance and 

other psycho-social aspects of first academic year of college completion and post-first academic year 

college placement

 Stipend: an allocation of project financial resources made directly to students to offset living or 

educational expenses. Stipends are not to be used as incentives.

 Career-oriented Work-study: Guided employment that provides opportunities for the CAMP student 

to develop or 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.

Data quality checks

 The counts reported in Item B1a 1-6 and in B1b 1-8 may be duplicated, as some students may 

receive multiple Supportive & Instructional or Financial Services. However, the value of any

individual count cannot exceed the count reported in Item A1b (no. served).

 The count reported in B1c must be equal to or less than the count reported in A1b (no. served).

Reporting Block, Item B1 (For illustration purposes only; do not report data here)

B1. Supportive & Instructional Services and Financial Services 

provided only by CAMP funds and received by CAMP-enrolled 

students during the budget period. This count does not include other 

services provided to CAMP students by the university. Y1 Y2 Y3 Y4 Y5 F

a. Count the total number of CAMP students served with the following 

types of supportive & instructional services. Students may appear in 

more than one row if they received more than one service. 

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 (additional instructional services provided in support 

of a specific curriculum, course, or course of study).

3. Mentoring or coaching (advisory 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 served with the following 

types of financial services. Please indicate the number of students

receiving support services. Students may appear in more than one row

if they received more than one service. 

1. Stipends.

2. Scholarships.

3. Transportation.

4. Career-oriented work-study.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 15 -

B1. Supportive & Instructional Services and Financial Services 

provided only by CAMP funds and received by CAMP-enrolled 

students during the budget period. This count does not include other 

services provided to CAMP students by the university. Y1 Y2 Y3 Y4 Y5 F

5. Books and supplies.

6. Tuition and fees. 

 7. Room and Board.

 8. Other ____________________________.

c. Number of students receiving referrals to other services.

d. Total number of referrals to other services.

Item B2

Item B2 collects data on the characteristics of students who were enrolled in CAMP project 

services during the reported budget period. Items B2a-m request data on:

 Sex

 Age

 Residential stability

 Number of commuting students

 Number of students enrolled in remedial or developmental courses

 Number of students admitted to an IHE under special admissions

 Number of first generation college students 

 Number of students referred to CAMP by MEP, HEP, NFJP, etc.

 Number of students receiving financial services from an agency/program other than CAMP

 Number of students with English Language Learners

Definitions

 Educational Impairments: The number of students enrolled and served in college courses past the 

Add/Drop 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 Language Learner (ELL): The number of students enrolled and served in college courses 

past the Add/Drop deadline assigned by the project’s IHE, during this budget period, that had need of 

English as a Second Language as determined by a language assessment test administered by the 

project or the project’s institution.

 “Special Admissions”: “special admissions” will be defined by the IHE, in which the CAMP student 

is currently enrolled. 

Data quality checks

 The sum of counts reported in Items B2a and B2b must be equal to the total number of students 

served (Item A1b) for the reported budget period. Similarly, the sum of counts reported in Items B2 c 

and B2d must be equal to the total number of students served (Item A1b) for the reported budget 

period. 

 The counts reported in each of Items B2e, B2f, B2g, B2h, B2i, B2j, B2k, B2l, B2m, and B2n1 cannot 

exceed the total number of students served (Item A1b) for the reported budget period. 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 16 -

 

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.

B2. Characteristics of the CAMP enrolled students during this 

budget period. (Note: [B2a and B2b] and [B2c and B2d] should 

sum to equal the number reported in A1b (no. served)). Y1 Y2 Y3 Y4 Y5 F

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 (one-way) to 

attend postsecondary 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 for English language 

proficiency as determined by a language assessment test? If 

“No,” skip to question C1. Mark Y for yes, or N for no.

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

1. Number of students who enrolled during the budget period 

and had English as a second language needs as determined 

by a language assessment test.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 17 -

Instructions for Section C– CAMP Project Services Information

Item C1

Item C1 collects data on the project model being reported. Items C1a and C1bc request data on the 

commuter or residential status of the project and the time-to-completion for the project’s IHE (i.e. 

whether the IHE is a two-year or four-year institution). Items C1a and C1b contain check-boxes for the 

allowable responses. There should be no other written response to these items.

Reporting Block, Item C1 (For illustration purposes only; do not check boxes here)

C1. Project Model Characteristics

a. Is this project a commuter or residential project or a combination of both? Commuter

Residential

Combination of 

commuter and residential 

b. Is this project in a four-year or two-year institution? Four-Year Institution

Two-Year Institution

Item C2

Item C2 collects data on the personnel associated with project services. Items C2 a-c request data 

on the number of teaching staff and instructional support staff, both funded and not funded by the CAMP 

grant.

Definitions:

 FTE (full-time equivalent) for Administrative Staff & Instructional Support Staff: FTE is a 

measure equal to one staff person working a full-time work schedule for one year. 

o To calculate the total FTE: For each administrative staff person or support person, divide the 

total number of hours that employee works in your CAMP project each year by the number of 

hours your organization considers full time for one year. When all calculations on individual 

administrative staff persons and support persons are complete, sum across all administrative 

staff persons for the total administrative staff FTE and sum across all support staff persons for 

the total support staff FTE. 

o For example, if your organization considers 1,920 hours annually to be full time, and 

administative 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 administrative staff.

 Number of FTE Administrative Staff: Staff funded by the CAMP grant that serve to manage the 

project. Grantees should report the total number of CAMP-funded, FTE administrative staff 

contributing to the project in Item C2a. Grantees should report the total number of non-CAMPfunded, FTE administrative staff contributing to the project in Item C2c.

 Number of FTE Supportive and Instructional Staff: Staff who provide, supportive & instructional 

services (i.e. personal, academic & career counseling, tutoring, mentoring, health services, and 

assistance with special admissions) funded by the CAMP grant. Grantees should report the total 

number of CAMP-funded, FTE supportive & instructional staff contributing to the project. in Item 

C2b. Grantees should report the total number of non-CAMP-funded, FTE supportive & 

instructional staff contributing to the project in Item C2c.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 18 -

Reporting Block, Item C2 (For illustration purposes only; do not report data here)

C2. Project Personnel Characteristics

a. Number of FTE administrative staff funded by the CAMP grant. ___________

b. Number of FTE supportive and instructional staff (tutors, coaches, mentors, 

counselors, etc.) funded by the CAMP grant.

___________

c. Number of FTE administrative staff and supportive and instructional staff 

contributing to the project’s CAMP services, not funded by the CAMP grant.

___________

Item C3

Item C3 collects data on student assessments that determine IHE enrollment. Items C3a, C3b, 

and C3c contain check-boxes for the allowable responses. Items C3a1-4, C3b1-4, and C3c1-4 allow a 

written response, if applicable.

Data quality check

 If the answer to Items C3a, C3b, and C3c are “no”, the grantee should not report Items C3a1-4, C3b1-

4, and C3c1-4 respectively, then report “N/A.”

Reporting Block, Item C3 (For illustration purposes only; do not report data here)

C3. Test Information

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

 1. What is the average score for all IHE students? English ____________ 

Math ______________

 2. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 3. What is the average score for CAMP students? English ____________ 

Math ______________ 

 4. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

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

 1. What is the average score for all IHE students? English ____________ 

Math ______________ 

 2. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 3. What is the average score for CAMP students? English ____________ 

Math ______________ 

 4. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

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

 1. What is the name of the Student Placement Exam? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 2. What is the average score for all IHE students? English ____________ 

Math ______________ 

 3. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 4. What is the average score for CAMP students? English ____________ 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 19 -

Math ______________ 

 5. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

Item C4

Item C4 collects data on the nature of project services. Grantees must provide a short description 

(no more than 300 words) of project services that includes:

 services offered,

 major collaborators, and

 Other aspects of project design that were strong influences on service delivery and success. 

Reporting Prompt, Item C4

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. 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 20 -

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. 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 21 -

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 Measure Quantitative Data

Award financial aid to 100 

percent of students.

Target Actual Performance Data

Raw

Number

Ratio %

Raw

Number

Ratio % / /

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

Year Two

Year Three

Year Four

Year Five

Final
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 22 -

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

1.a. Performance Measure Quantitative Data

Award financial aid to 100 

percent of students.

Target Actual Performance Data

Raw

Number

Ratio %

Raw

Number

Ratio % / /

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 Measure Quantitative Data

Award financial aid to 100 

percent of students. 

Target Actual Performance Data

Raw

Number

Ratio %

Raw

Number

Ratio % / /

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)(maximum 2500 words):

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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 23 -

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)(maximum 2500 words). 

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.

4. Please list the cumulative totals for the following reporting requirements:

 What is the cumulative total of the number of students you served over the course of the five 

years of your grant? _____________

 What is the cumulative total of the number of first academic year completers (GPRA 1)

over the course of the five years of your grant? _____________

 What is the cumulative total of the unduplicated number of CAMP first academic year 

completers who continued in postsecondary education programs (GPRA 2) over the course 

of the five years of your grant? _______________
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 24 -

Instructions for Section E – CAMP Project Budget Information

-- Annual and Final Performance Reports:

Cover Sheet - Report budget expenditure data in items 8a. – 8b. 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. – 8b 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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 25 -

Instructions for Section F – GPRA 1Documentation & Additional Information

-- Annual Performance Reports Only:

All CAMP projects are required to submit to OME, as a supplement to their APR, 

a list of CAMP students who completed their first year at the IHE (as defined by that IHE) during the 

reporting period. This documentation supports the information reported in item A2b (GPRA I). The list 

should include:

o Students' names,

o Student ID numbers, and 

o A statement that these students were enrolled in the CAMP program and completed their first 

year at the IHE during the reporting period.

This list must be verified and signed by the IHE’s Registrar. This list should be uploaded as an 

attachment in this Section (i.e., Section F) in EMAPS, via PDF, WORD, or Excel.

 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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 26 -

Cover Sheet – CAMP Annual Performance Report

Check only one box per Program Office instruction.

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

□ Final Performance Report

General Information

1. PR/ Number:_____________ 2. NCES ID#: __________

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

3 Project Title: _________

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

4. Grantee Name (Block 1 of the Grant Award Notification): Sample University

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)

7b. Reporting Period: (For Final Performance Reports only) From: ___/___/___ To: ___/___/___ 

(mm/dd/yyyy)Budget Expenditures (To be completed by your Business Office. See instructions. Also see Section E.)

8. Budget Expenditures

Federal Grant Funds Non-Federal Funds (Match/Cost 

Share)

a. Current Budget Period

b. 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): __________

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:
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 27 -

A. CAMP Project Statistics and Reporting for GPRA

A1. Number of students served during budget period. Y1 Y2 Y3 Y4 Y5 F

a. Number funded to be served.

b. Number served in college courses (Note: A1b1 + A1b2

should sum to equal A1b).

1. Number served who were new participants (first 

academic year in CAMP) (subset of A1b).

2. 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). Y1 Y2 Y3 Y4 Y5 F

a. Explain how “academic year” is defined in your project’s 

IHE in the space provided below:

b. Number of CAMP first academic year completers. (Obj. 1 

National Target: 86%) (GPRA 1)

* Supporting documentation required. See instructions for 

Item A2. 

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. Y1 Y2 Y3 Y4 Y5 F

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 National Target: 84%) 

(GPRA 2) 

Y1 Y2 Y3 Y4 Y5 F

A4. Number of CAMP first academic year completers you were 

able to track for follow-up data.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 28 -

Y1 Y2 Y3 Y4 Y5 F

A5. Number of your former CAMP students who graduated from 

college with Bachelor’s Degree this budget period.

Y1 Y2 Y3 Y4 Y5 F

A6. Number of your former CAMP students who graduated from 

college with Associate’s Degree this budget period.

Y1 Y2 Y3 Y4 Y5 F

A7. Number of your 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 equal the number reported in A2a). Y1 Y2 Y3 Y4 Y5 F

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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 29 -

B. CAMP Project Student Participant Information

B1. Supportive & Instructional Services and Financial Services 

provided only by CAMP funds and received by CAMP-enrolled 

students during the budget period. This count does not include 

other services provided to CAMP students by the university. Y1 Y2 Y3 Y4 Y5 F

a. Count the total number of CAMP students served with the 

following types of supportive & instructional 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 (additional instructional services provided in 

support of a specific curriculum, course, or course of study).

3. Mentoring or coaching (advisory 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 served with the 

following types of financial services. Please indicate the number 

of students 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 ____________________________.

c. Number of students receiving referrals to other services.

d. Total number of referrals to other services.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/201X 

- 30 -

 

3 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.

B2. Characteristics of the CAMP enrolled students during 

this budget period. (Note: [B2a and B2b] and [B2c and B2d]

should sum to equal the number reported in A1b). Y1 Y2 Y3 Y4 Y5 F

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. 3

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 for English language 

development placement? If “No,” skip to question C1. 

Mark Y for yes, or N for no.

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

1. Number of ELL students who enrolled during the 

budget period and had English as a second language 

needs.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012

- 31 -

C. CAMP Project Services Information

C1. Project Model Characteristics

a. Is this project a commuter or residential project or a combination of both? Commuter

Residential

Combination of

commuter and residential 

b. Is this project in a four-year or two-year institution? Four-Year 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 intake process? Yes No

 1. What is the average score for all IHE students? English ____________ 

Math ______________ 

 2. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 3. What is the average score for CAMP students? English ____________ 

Math ______________ 

 4. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

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

 1. What is the average score for all IHE students? English ____________ 

Math ______________ 

 2. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012

- 32 -

Math Min__ Math Max__

 3. What is the average score for CAMP students? English ____________ 

Math ______________ 

 4. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

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

 1. What is the name of the Student Placement Exam? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 2. What is the average score for all IHE students? English ____________ 

Math ______________ 

 3. What is the range of scores for all IHE students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

 4. What is the average score for CAMP students? English ____________ 

Math ______________ 

 5. What is the range of scores for CAMP students? Engl. Min__ Engl. Max__

Math Min__ Math Max__

Reporting Prompt, Item C4

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. 
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012

- 33 -

D. CAMP Project Goals and Objectives

Project Performance Objectives Information

(Use as many pages as necessary.) 

Project Year: (check one: Y1□ Y2□ Y3□ Y4□ Y5□ F□ )

Section 1. Project Objective

1.a. Performance Measure Quantitative Data

Target Actual Performance Data

Raw

Number

Ratio

%

Raw

Number

Ratio

% / /

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

Number

Ratio

% / /

Year One

Year Two

Year Three

Year Four

Year Five

Final
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012

- 34 -

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

Collection Information) (maximum 2500 words)

Section 3: FINAL PERFORMANCE REPORT ONLY (This information covers the entire project period, or five years) (maximum 2500 

words).

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.

4. Please list the cumulative totals for the following reporting requirements:

 What is the cumulative total of the number of students you served over the course of the five years of your grant? _____________

 What is the cumulative total of the number of first academic year completers (GPRA 1) over the course of the five years of your 

grant? _____________

 What is the cumulative total of the unduplicated number of CAMP first academic year completers who continued in postsecondary 

education programs (GPRA 2) over the course of the five years of your grant? _______________
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012 

- 35 -

E. CAMP Project Budget Information (see instructions)

1. Report budget expenditure data in items 8a. – 8b. of the Cover Sheet per the Instructions for 

Cover Sheet, Question 8. Refer to the Instructions for Section E for applicable subinstructions 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 by checking the box. 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)

Revised Budget 

Amounts

(b)

Actual Expenditure 

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.
Project Name: Sample University PR Number: S149A_ _ _ _ _ _

 Reporting Period: 00/00/20_ _ - 00/00/20_ _

OMB No. 1810-0689 CAMP Annual Performance Report 

Exp. 1/31/2012 

- 36 -

F. GPRA 1Documentation & Additional Information (see instructions)

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

 activities in this performance report.