### 1 **OM B Approval No.: 1840**  **- NEW**  **Expiration Date: [TBD]** 

## Veterans Upward Bound (VUB) Program **Annual Performance Report Program Year 2012** 

**– 13**  **Authority: Public Law 10 2**  **- 325, as amended.**  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 i s estimated to average 17 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and co mpleting and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain benefit (Title IV, Sections 402A(c)(2) and 402C of the Higher Education Act of 1965, as amended; the program regulations in 34 CFR 645, and the Education Department General Administrative Regulations (EDGAR), in 34 CFR 74.51, 75.720, and 75.732). 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, Washington, DC 20202
-4536 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1840
- 0762. Note: Please do not return the completed annual performance report to this address. 

## SECTION I, Part 1

**– PROJECT IDENTIFICATION, CERTIFICATION, AND**  **WARNING A.**  **Identif ication**  (all fields with an asterisk [*] are mandatory): 1. PR/Award Number: [will be prepopulated] 2. Name of Grantee Institution/Agency: [will be prepopulated] 3. Address: Campus:

Street:* City:* State:* [dropdown box] Z ip:* 4. Name of Project Director: Prefix: [dropdown box allowing choice among Mr., Mrs., Ms., Dr., Sister, Father] First Name:* MI: Last Name:* 5. Telephone Number:* ext.: Fax Number: ext.: E
-mail Address:* 6. Report Period: [will be prepopulated]

### 2

7. Type of Project: [will be prepopulated]
8. Data Entry Person: Prefix [dropdown box allowing choice among Mr., Mrs., Ms., Dr., Sister, Father] First Name:* MI: Last Name:* Telephone Number:* ext.: E
-mail address:* **B. Certification**  The Project Director and Certifying Official are required to sign and date Section I, Part 1 of the 2012
– 13 Annual Performance Report form to certify the accuracy and completeness of the information submitted electronically. After completing the entire rep ort online, you will be able to print a copy of Section I, Part 1, which will include signature lines for the project director and certifying official. Once the form has been signed, please scan it and, using the functionality on the APR site, upload it. If a grantee is unable to upload Section I, it may be faxed to 703
- 832
- 1360.  I have verified the information in this section. **Warning** Any person who knowingly makes a false statement or misrepresentation on this report is subject to penalties whic h may include fines, imprisonment, or both, under the United States Criminal Code and 20 U.S.C. 1097. 

### Further federal funds or other benefits may be withheld under these programs unless this report is completed and filed as required by existing law (20 U. S.C. 1231a) and regulations (34 CFR 75.590 and 75.720)

### 3

SECTION I, Part 2: **Competitive Preference Priorities (If Applicable)**
The 2012 VUB grant competition established two competitive preference priorities concerning data
-based decision
-making and pro ductivity. Below, please indicate whether your project addressed the two competitive preference priorities. For each priority addressed, please complete the text boxes with concise information about implementation. **Enabling More Data -** **Based Decision -** **Making -**  Projects that are designed to collect (or obtain), analyze, and use high
- quality and timely data, including data on program participant outcomes, in accordance with privacy requirements (as defined in this notice), in: (a) improving postsecondary student outcomes relating to enrollment, persistence, and completion and leading to career success, and (b) providing reliable and comprehensive information on the implementation of Department of Education programs, and participant outcomes in these programs, by using data from State longitudinal data systems or by obtaining data from reliable third
-party sources. 1A. Not applicable □ 1B. Yes □ If “Yes”, indicate below which data systems your project utilized. **State longitudinal data systems Third** **- party data systems** 

### 4

**Improving Productivity -**  Projects that are designed to significantly increase efficiency in the use of time, staff, money, or other resources while improving student learning or other educational outcomes (i.e., outcome per unit of resource). Such projects may include innovative and sustainable uses of technology, modification of school schedules and teacher compensation systems, use of open educational resources (as defined in the notice), or other strategies. 3A. Not applicable □ 3B. Yes □ If “Yes”, indicate below how your project achieved this productivity by increasing efficiency in the use of time, staff, money or other resources. Resource/Measure used with increased efficiency Improved Outcome

### 1

**OMB A pproval No.: 1840**  **- NEW**  **Expiration Date: [** **TBD] AN**  **NUA L PERFORMA**  **NCE REPORT ( 2012** **– 13**  **) SECTION II**  **-- RECORD STRUCTURE FOR PA**  **RTICIPA NT LIST**  **FOR VETERA NS UPWA**  **RD BOUND PROJECTS** Grantees must submit participant files in Excel or CSV format. Colum n names **must** ma tch the "Database Column Name" provided in column three below, and grantees must follow instructions in the "Valid Field Content" column. For additional information on how to submit data, please see "How Ma y the Report be Submitted?" in the instructions for the APR.

**Field N**  **o. Field**  **N ame**  **Database C**  **olumn N**  **ame Valid**  **F ield**  **C ontent**  **Data for field must not change**  **from reporting ye**  **ar to reporting ye**  **ar Grantee must** 

**check field each report y** **ear to see if update is**  **n eeded**  **Project I**  **dentifiers ( P**  **re -**  **P opulated)**  1 PR/Award Number VetPR Number in Block 2 of the project’s Grant Award Notification. Include only the eleven character PR/award Number that begins as follows: P047V _ _ _ _ _ _ These fields are pre
- populated and thus do not need any checkmarks.
2 Batch Year VetBatchAY 2012 for project year 2012

– 13 3 Program Type VetType 3 =Veterans Upward Bound **Participants’ D**  **emographic I**  **nformation** 4 Social Security Number VetSSN 001010001 to 999999998 000000000 = Unknow n Please format the SSN in nine digits greater than 0 without using any characters (letters, hyphens) in the number (e.g., 123456789). Do not include any other forms of ID in this field. **So as to allow participants’ records to match across y ears, this**  **d ata must match y** **our 2011 –**  **12 APR (except for students new in** ✔

### 2

**Field N**  **o. Field**  **N ame**  **Database C**  **olumn N**  **ame Valid**  **F ield**  **C ontent**  **Data for field must not change**  **from reporting ye**  **ar to reporting ye**  **ar Grantee must** 

**check field each report y** **ear to see if update is**  **n eeded**  **2012 –**  **13).** 5 Last Name VetLastNM 0 to 9 Uppercase A to Z . (period) ’ (apostrophe)

- (hyphen) Last name will be justified with an uppercase A
- Z in first position. Please do not use commas or quotation marks in this field. **So as to allow participants’ records to match across y ears, this**  **data must match y our 2011**  **– 12 APR (except for students new in**  **2012 –**  **13).** ✔

6 First Name VetFirstNM 0 to 9 Uppercase A to Z . (period) ’ (apostrophe)

- (hyphen) First name will be justified with an uppercase A
- Z in first position. Please do not use commas or quotation marks in this field. **So as to allow participants’ records to match across y ears, this**  **data must match y our 2011**  **– 12 APR (except for students new**  **in 2012**  **– 13).**  ✔

7 Middle Initial VetMI Uppercase A to Z; only one character Blank = Unknown **So as to allow participants’ records to match across y ears, this**  **data must match y our 2011**  **– 12 APR (except for students new in**  **2012 –**  **13).** ✔

### 3

8 Date of Birth VetDOB Format is MM/DD/CCYY, e.g., 01/01/1977 MM = 01

– 12 DD = 01

– 31 CC = 19

– 20 YY = 00

– 99 00/00/0000 = Unknown Please make every effort to identify the participant’s precise date of birth. **So as to allow participants’ records to match across y ears, this**  **dat a must match y** **our 2011 –**  **12 APR (except for students new in 2012**  **– 13).**  ✔

9 Gender VetGenderCD 1 = Male 2 = Female 0 = Unknown 10 Ethnicity

– Hispanic VetEthnic Participant is identified as Hispanic/Latino. 1 = Yes 2 = No Please see instructions for additional detail on this field. 11 Race

– American Indian/Alaskan N ative VetRace1 Participant is identified as American Indian/Alaskan Native. 1 = Yes 2 = No Please see instructions for additional detail on this field. 12 Race

– Asian VetRace2 Participant is identified as Asian. 1 = Yes 2 = No Please see instructio ns for additional detail on this field.

### 4

13 Race

– Black or African American VetRace3 Participant is identified as Black or African American. 1 = Yes 2 = No Please see instructions for additional detail on this field. 14 Race

– Wh ite VetRace4 Partici pant is identified as W hite. 1 = Yes 2 = No Please see instructions for additional detail on this field. 15 Race

– Native Hawaiian or Other Pacific Islander VetRace5 Participant is identified as Native Hawaiian or Other Pacific Islander. 1 = Yes 2 = No Please see instructions for additional detail on this field. **Participant’s E**  **ligibility I**  **nformation** 16 Eligibility (at time of initial selection) Vet Elig 1 = Low
- income and first
- generation 2 = Low
- income only 3 = First
- generation only 4 = H igh risk f

or academic failure only 5 = Low- income and at high risk for academic failure 6 = First
- generation and at high risk for academic failure 7 = Low- income, first
- generation, and at high risk for academic failure 0 = Unknown Note: If a project selects option 4, 5, 6, or 7 in this field, that participant must have met one or more of the three at
- risk criteria in fields 17
- 19. Please see “Definitions That Apply” in instructions. ✔

1 7 At Risk: O ut of S chool for F ive Years (at time of initial selection) VetAtRiskSchool 1 = Yes 2 = No 9 = Not applicable, prior and continuing participants served before the 2012

– 17 cycle) 0 =Unknown Note: Select “Unknown” if the “at risk” status of a “new” participant first served in 2012
- 13 or 2013
- 14 was not collected at time of initial selection. Beginning with “new” participants first served in 2014
- 15, a project must determine if the participant met any of the regulatory “at risk” criteria an d report accordingly. ✔

### 5

1 8 At Risk: Low S tandardized Test Scores (at time of initial selection) VetAtRiskStdTest 1 = Yes 2 = No 9 = Not applicable, prior and continuing participants served before the 2012

– 17 cycle) 0 = Unknown Note: Select “Unknown” if the “at risk” stat us of a “new” participant first served in 2012
- 13 or 2013
- 14 was not collected at time of initial selection. Beginning with “new” participants first served in 2014
- 15, a project must determine if the participant met any of the regulatory “at risk” criteria and report accordingly. ✔

19 At Risk: Disability VetAtRiskDisabil A disability, as defined is the program regulations, is one of three criteria used to determine if a participant is “at high risk for academic failure” . In the prior APR, a VUB project was required to report on the disability status of a particip ant for demographic purposes. Therefore, in this new field, report on the d isability status of **all** current year and prior-year participants

. 1 = Yes 2 = No 0 = Unknown Please see “Definitions That Apply” in instruct ions. ✔

20 Academic Need (at first initial selection) VetAcNeed 1 = Need for Refresher Courses 2= Lack of Career Aspirations 3= Lack of preparation for postsecondary enrollment/continuation 4= Lack of confidence to transition into civilian life/postseconda ry education 5 = Lack of Support 6 = Lack of employable skills 7 = Lack of Awareness o f Military Education Benefits 8 = Other 9 = Not applicable, prior and continuing participants served before the 2012

– 17 cycle) 0 = Unknown

### 6 Note: Select “Unknown” if the academic need of a “new” participant first served in 2012
- 13 or 2013
- 14 was not collected at time of initial selection. Beginning with “new” participants first served in 2014
- 15, a project must determine if the participant met any of the regulatory “at ri sk” criteria and report accordingly. **Fields C**  **oncerning P**  **articipation in Veterans Upward Bound** 2 1 Recruitment VetRecruit 1 = Referral from community agency 2 = Referral from veterans’ agency (e.g., Veterans Administration, veterans’ center) 3 = Advertisement 4 = Project’s W eb site 5 = Referral from educational institution 6 = Wo rd of mouth/walk
- in 7 = Referral from another TRIO project (e.g., Talent Search, Student Support Services, Educational Opportunity Centers, other VUB project) 8 = Referral from non
- TRIO program 10 = Other 0 = Unknown 2 2 Date of First Project Service VetProjEntDT Format is MM/DD/CCYY, e.g., 09/15/2013 MM = 01

– 12 DD = 01

– 31 CC = 19

– 21 YY = 00

– 99 00/00/0000 = Unknown For new participants, use the date the participant first received service from the Veterans Upward Bound project that is submitting this report. Do not use date of acceptance into project unless that is the same as the date of first service

. Use the very first date of service at this p roject even if the participant subsequently left and reentered. Even if the participant transferred from another project, in this field give the date of first service at the project now submitting the report. (For continuing and prior
-year participants, us e the date entered in the earlier APR, even if it was a date of entry that differed from the date of first service.) ✔

### 7 You do not need to provide the exact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. I f there is no basis for estimating the month, but the year is known or can be estimated, use 01 for the month (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown").
2 3 Educational Status, at date of first project service VetGradeLV1 1 = High school dropout 2 = High school graduate 3 = GED/high school equivalency credential recipient 4 = High school graduate with some college 5 = GED/high school equivalency with some college 0 = Unknown ✔

2 4 Employment Status, a t date of first project service VetJob 1 = Unemployed 2 = Employed part time 3 = Employed full time 4 = Retired 0 = Unknown ✔

2 5 Deceased or Incapaci tated VetDeceased 1 = Deceased prior participant 2 = Prior participant, permanently incapacitated 3 = Participant was served during reporting period 2012

– 13 but is now deceased 4 = Participant was served during reporting period 2012

– 13 but is now permanently incapacitated 9 = Not applicable : neither deceased n or permanently incapacitated 0 = Unknown ✔

2 6 Participant Status, for reporting year VetPartCD 1 = New participant (for reporting period) 2 = Continuing participant (from immediately preceding reporting period) 3 = Reentry participant 4 = Prior-year participant 0 = Unknown For this report, please use the following definitions: A **new participant** is an individual who participated in the Veterans ✔

### 8 Upward Bound project for the **first time** in this reporting period. A **continuing participant** is an individual who participated in the project in both the current reporting period and the reporting period immediately preceding. A **reentry**

**participant** is an individual who attended the educational program offered by the project in a previous reporting year, suspended his or her participation, and ree ntered the program during the current reporting year . Also include in this category persons who completed the VUB program and returned to take it again. Participants who left the project, with or without completing it, are eligible to return only if they have not enrolled in a program of postsecondary education after leaving VUB. A **prior -** **ye ar participant**  is an individual who participated in the Veterans Upward Bound program in a previous reporting period but who has not received services on a continual ba sis during the current reporting period. The sum of the new, continuing, and reentry participants should equal the total number of participants the projects served during the reporting period. 2 7 Served by Another Federal Program Similar to VUB, during reporting year VETServed 1 = Participant received services from an EOC project 2 = Participant received services from another federally funded program (other than EOC) that is similar to VUB 3 = Participant did not receive services from another federally funded program similar to VUB 9 = Not applicable, prior
-year participant 0 = Unknown This field provides information on the participation of current VUB participants in other federally funde d programs that were similar to VUB and were serving the same target area during 2012

– 13. ✔

### 9

2 8 Called to Active Duty, during reporting year VetCall 1 = Yes, current
-year participant 2 = Yes, prior
-year participant who was on active duty during the reporting year 3 = No 0 = Unknown ✔

29 Academic Improvement on Standardized Test Objective

– Numerator, for reporting year VetTestObj 1 = Yes, participant completed VUB program during the reporting year and improved academic performance as demonstrated by pre and post tests. 2 = No, participant completed VUB program during the reporting year, to ok pre and post tests but did not improve 3 = No, participant completed VUB program during the reporting year but did not take post test 8 = Not applicable, did not complete the VUB educational program during the reporting year 9 = Not applicable, prior year participant 0 = Unknown ✔

3 0 Date of Last Project Service in VUB, as of end of reporting year VetLastSerDate Format is MM/DD/CCYY, e.g., 03/31/2013 MM = 01

– 12 DD = 01

– 31 CC = 20 YY = 00

– 99 88/88/8888 Not applicable, still in the education al program offered

by the project 00/00/0000 = Unknown **Accurac y**  **is particularly important for this field.**  Report date of last service for all participants who were no longer being served as of end of reporting period and who the project assumes will not return. You do not need to provide the exact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. If there is no basis for estimating the month, but the year is known or can be estimated, use 01 for the mon th (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown"). **Except for reentry**

**participants, o nce date of last**  **project service**  **has been submitted in one year’s APR, the date must not change in a later reporting y** **ear** .

### 10

3 1 VUB Educational Program Completion Year VetCompleteYR 1 11 1 = Other , completed the VUB program p rior to 20 1 1

– 1 2 project year) 20 1 1 = completed the VUB program in 2011
- 12 project year 20 1 2 = 20 12

– 13 , completed the VUB program in 2012
- 13 project year88 = Not applicable, still in the educational program offered by the project 99 = Not applicable, left project before completing the educational program 0 = unknown **Accurac y**  **is particularly important for this field,**  which is used in calculating performan ce measures and PE points for three objectives

. Enter the project year that the participant completed the educational program offered by the project. If the participant left the program prior to completing the educational program, select option 99; select option 88 if the participant was still in the program as of the end of the reporting period. **Once the VUB educational**  **program completion ye**  **ar has been**  **submitted in one y**

**ear’s APR, the ye**  **ar must not change in a**  **later reporting y ear.**  3 2 Reason for Le aving VUB Program, as of end of reporting year VetLeave Please provide information as of the end of the reporting period. 1 = Successfully completed program 2 = Did not complete program due to current need or desire for employment 3 = Did not complete p rogram; moved out of project’s service area 4 = Did not complete program; no longer interested 5 = Did not complete program due to difficulties with academics 6 = Did not complete program due to family responsibilities 7 = Did not complete program; le ft after call to active duty 8 = Did not complete program due to medical reasons 9 = Did not complete program due to death or permanent incapacity of participant 10 = Did not complete program due to other reasons 0 = Did not complete program for unknow n reasons 88 = Not applicable, still in the educational program offered by the project ✔

### 11 **Project Services** 3 3 Basic Skills Development , for reporting year (2012
- 13) VetBscSkllDvl Participant received this service during the reporting year. 1 = Yes 2 = No 8 = Not applicable, not offered by project 9 = Not applicable, prior
-year participant 0 = Unknown Please see "Definitions That Apply" in instructions. 3 4 Short Term Remedial or Refresher Courses , for reporting year (2012
- 13) VetShtTrmCrse Parti cipant received this service during the reporting year. 1 = Yes 2 = No 8 = Not applicable, not offered by project 9 = Not applicable, prior
-year participant 0 = Unknown Please see "Definitions That Apply" in instructions. 3 5 Assistance in Securing Local Support , for reporting year (2012
- 13) VetLclSppt Participant received this service during the reporting year. 1 = Yes 2 = No 8 = Not applicable, not offered by project 9 = Not applicable, prior
-year participant 0 = Unknown
Please see "Definitions That Apply" in instructions. 3 6 Special Services for Transition to PSE , for reporting year (2012
- 13) VetSpSrvc Participant received this service during the reporting year. 1 = Yes 2 = No 8 = Not applicable, not offered by project 9 = Not applicable, prior
-year participant 0 = Unknown Please see "Definitions That Apply" in instructions.

### 12

**Participant’s P**  **ostsecondary E**  **ducation I**  **nformation Remember that data for these fields should reflect information available to the project as of the date on which the APR**  **is submitted.** 3 7 Date of First Postsecondary

School Enrollment VetFirstEnrollDT Format is MM/DD/CCYY, e.g., 09/15/2013 MM = 01

– 12 DD = 01

– 31 CC = 19

– 20 YY = 00

– 99 88/88/8888 = Not applicable, still in the educational program

offered by the project 99/99/9999 = Not applicable, left educational program (either

completing or not) but has not yet enrolled in a program of postsecondary education 00/00/0000 = Unknown **Accurac y**  **is particularly important for this field.**  Include only the enrollment date after leaving the VUB program (either successfully completing VUB or not). Do not use dates of any postsecondary enrollment prior to participation in VUB. If the participant has begun taking postsecondary courses but is still participating in VUB, the participant should **not** be considered enrolled in postsecondary education. You do not need to provide the exact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. If there is no basis for estimating the month , but the year is known or can be estimated, use 01 for the month (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown"). **Once the date of first postsecondary enrollment has been**  **submitted in one y**

**ear’s APR, the date must not change in a**  **later reporting y ear.**  3 8 Postsecondary Education

Enrollment Cohort VetPSECohort 1 111 = Other (p rior to 2007

–08 ) 200 7 = 2007

– 08 (completed VUB program at any time and enrolled in PSE program during academic year 2007

–08) 200 8 = 2008

– 09 200 9 = 2009

– 10 20 10 = 2010

– 11 20 11 = 2011

– 12 20 12 = 2012

– 13

### 13 77 77 = C ompleted the VUB educational program but has not yet enrolled in postsecondary education program 88 88 = Not applicable, still in the educational program offered by the project 99 99 = Not applicable, left VUB before completing the educational program (code as 99 99 even if the participant enroll ed in postsecondary education program) **Accurac y**  **is particularly important for this field,**  which is used to establish a cohort of participants w ho will form the denominator for each project’s postsecondary completion PE objective and for two of the performance measures. **For those participants who completed the VUB educational program at any**  **time, enter the**  **academic ye**  **ar in which**  **the participant en rolled in**  **postsecondary**

**education .**  **So as to reflect likely enrollment**  **dates, f or purposes of this field, the period of an academic**  **ye ar**  **is August 1 through July 31**  **.** For example, if the participant completed the VUB program during the 2010

– 11 project year (option 1 1 in field 32) and enrolled in postsecondary education in June 2013 (i.e., during the 20 12

– 13 academic year) , enter 12 . Do not include postsecondary education enrollment that occurred prior to the participant completing the VUB educational program . **Once the postsecondary**  **educational cohort ye**  **ar has been submitted in one y** 

**ear’s APR, the ye**  **ar must not change in a**  **later reporting y ear.**  39 School Code for Postsecondary Institution First Attended VetPSECode B00000

– B99999 E00000

– E99999 G00000

– G99999 000001

– 999999 555555 = Enrolled in a postsecondary institution not found in the

Federal School Code Directory 666666 = Not applicable, prior participant whose enrollment in

last institution attended was reported in previous grant cycle(s) 888888 = Not applicable, still in the educational program offered

by the project

### 14 999999 = Not applicable, left educational program (either

completing or not) but has not yet enrolled in a program of postsecondary education 000000 = Unknown Provide the six- digi t school code for the postsecondary institution the participant **first** attended after participating in the Veterans Upward Bound program. If the participant began attendance in fall 2013 (i.e., after the end of the 2012

– 13 reporting period), please provide the code of the institution. The six
- digit codes can be obtained from the following W eb site: https://fafsa.ed.gov/FAFSA/app/schoolSearch?locale=en_EN 4 0 Source of Postsecondary E ducation Information VetSelfTranCD 1 = Official college transcript 2 = Institutional data but not an official transcript 3 = Self
- reported by participant 4 = Other third
- party verification, e.g., National Student Clearinghouse 8 = Not applicable, still in the educational program offered by the project 9 = Not applicable, left educational program (either completing or not) but has not yet enrolled in a program of postsecondary education 0 = Unknown This field should be based on postsecondary enrollment( s) that occurred after the participant left the VUB program (either completing or not). ✔

4 1 College Status at beginning of academic year 2013

– 14 VetPSEGrLV 1 = Accepted into postsecondary education program but not yet enrolled 2 = First year student in postsecondary education 3 = Postsecondary student continuing beyond first year 4 = Enroll ed, completed a program of postsecondary education but continuing in postsecondary 5 = Not enrolled, completed a program of postsecondary education prior to beginning of academic year 2013
- 14 7 = Prior to beginning of academic year 2013
- 14 , left a program ✔

### 15 of postsecondary education without completing it 8 = Not applicable, still in the educational program offered by the project 9 = Not applicable, left educational program (either successfully completing or not) but has not yet enrolled in a program of posts econdary education 10 = Other 0 = Unknown This field should be based on the postsecondary enrollments that occurred after the participant left the VUB program (either completing or not). If you choose option 4 or 5, both of which indicate that the parti cipant completed a program of postsecondary education, you must also complete fields #4 4 and #4 5 (for certificate/diploma completion), fields #4 6 and #4 7 (for associate degree completion), and/or fields #4 8 and #49 (for bachelor’s degree completion). 4 2 Postsecondary Remediation VetPSRemediation For members of the 2012

– 13 postsecondary education enrollment cohort (field #3 8 ): 1 = Did not receive college
- level math or English remediation in first year of postsecondary education in the 2012
- 13 project year 2 = Received college
- level math or English remediation in first year of postsecondary education in the 2012

– 13 project year 9 = Not applicable, participant not in 2012 postsecondary education enrollment cohort 0 = Unknown This field is based on pos tsecondary enrollments that occurred after the participant left the VUB program (either completing the program or not). Regarding the term “remediation,” please see “Definitions That Apply” in the General Instructions. ✔

### 16

4 3 Certificate/ Diploma Completed VetCertificateCD 1 = Yes, completed certificate/diploma for occupational /educational program 6 = Enrolled in, but not yet completed certificate/diploma program 7 = L eft a certificate/diploma program without completing it 8 = Not applicable, still in the educational program offered by the project 9 = Not applicable, left the educational program (either completing it or not) but has not yet enrolled in a program of postsecondary education 11 = Not applicable, participan t pursued another kind of postsecondary credential (not associated with a certificate/diploma program) 0 = Unknown If participant has been in a certificate program, choose 1, 6 , 7, or 0. Include only those completions that occurred after the participan t left the VUB program (either completing or not). ✔

4 4 Date of First Certificate/ Diploma VetCertificateDT Format is MM/DD/CCYY, e.g., 05/15/2012 MM = 01

– 12 DD = 01

– 31 CC = 19

– 20 YY = 00

– 99 66/66/6666 = Not applicable, still enrolled in certificate/diploma

program 77/77/7777 = Not applicable, left certificate/diploma program

without completing it 88/88/8888 = Not applicable, still in the educational program

offered by the project 99/99/9999 = Not applicable, left the educational program (eit her

completing or not) but has not yet enrolled in program of postsecondary education 11/11/1111 = Not applicable, participant pursued another kind of

postsecondary credential (not associated with certificate/diploma program) 00/00/0000 = Unknown **Accurac y**  **is particularly important for this field.**  This field

### 17 collects dates of postsecondary completions that occurred after the participant left the VUB program (either completing or not). If participant has earned more than one certificate/diploma, report the d ate that the **first** certificate/diploma was completed. You do not need to provide the exact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. If there is no basis for estimating the month, but the year is k nown or can be estimated, use 01 for the month (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown"). **Once date of first**  **certificate/diploma has been submitted in one y** **ear’s APR, the date must not change in a later r eporting**  **ye ar.**  4 5 Associate Degree Attained VetAssocDegreeCD 1 = Yes, attained associate degree 5 = Transferred to four
-year institution without completing an associate degree 6 = Enrolled in, but not yet completed associate degree 7 = Not applicable, L eft associate degree program without completing it ; did not transfer to a four
-year institution 8 = Not applicable, not yet completed the educational program offered by the project 9 = Not applicable, left the educational program (either completing or no t) but has not yet enrolled in program of postsecondary education 11 = Not applicable, participant pursued another kind of postsecondary credential (not associated with an associate degree program) 0 = Unknown If participant has been in an associate de gree program, choose 1, 5 , 6, 7 , or 0. Include only those completions that occurred after the participant left the VUB program (either completing or not). ✔

4 6 Date of First Associate Degree VetAssocDegreeDT Format is MM/DD/CCYY, e.g., 05/15/201 3 MM = 01

– 12 DD = 01

– 31 CC = 19

– 20 YY = 00

– 99 55/55/5555 = Transferred to four
-year institution without

### 18 completing an associate degree 66/66/6666 = Not applicable, still enrolled in associate degree

program 77/77/7777 = Not applicable, left associate degree program

without completing it ; did not transfer to a four
-year institution 88/88/8888 = Not applicable, not yet completed the educational

program offered by the project 99/99/9999 = Not applicable, left educational program (either

completing or not) but has not yet enrolled in program of postsecondary education 11/11/1111 = Not applicable, participant pursued another kind of

postsecondary credential (not associated with an associate degree program) 00/00/0000 = Unknown **Accurac y**  **is particularly impor**  **tant for this field.** This field collects dates of postsecondary completions that occurred after the participant left the VUB program (either completing or not). If participant has earned more than one associate degree, report the date that the **first** associ ate degree was completed, You do not need to provide the exact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. If there is no basis for estimating the month, but the year is known or can be estimated, us e 01 for the month (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown"). **Once date of f** **irst associate degree**  **has been submitted in one y** **ear’s APR, the date must not change in a later reporting ye**  **ar.** 4 7 Bachelor’s Degree Attained VetBachDegreeCD 1 = Yes, attained bachelor’s degree 6 = Enrolled in, but not yet completed bachelor’s degree 7 = L eft bachelor’s degree program without completing it 8 = Not applicable, not yet completed the educational program offered by the project 9 = Not applicable, left educational program (either completing or not) but has not yet enrolled in a program of postsecondary education ✔

### 19 11 = Not applicable, participant pursued another kind of postsecondary credential (not associated with b achelor’s degree program) 0 = Unknown If participant has been in a bachel or’s degree program, choose 1, 6 , 7, or 0. Include only those completions that occurred after the participant left the VUB program (either completing or not). 4 8 Date of First Bachelor’s Degree VetBachDegreeDT Format is MM/DD/CCYY, e.g., 05/15/2012 MM = 01

– 12 DD = 01

– 31 CC = 19

– 20 YY = 00

– 99 66/66/6666 = Not applicable, still e nrolled in b achelor’s degree

program 77/77/7777 = Not applicable, left b achelor’s degree program

without completing it 88/88/8888 = Not applicable, still in the educational program

offered by the project 99/99/9999 = Not applicable, left educational program (either

completing or not) but has not yet enrolled in program of postsecondary educat ion 11/11/1111 = Not applicable, participant pursued another kind of

postsecondary credential (not associated with bachelor’s degree program) 00/00/0000 = Unknown **Accurac y**  **is particularly important for this field.**  This field collects dates of postseconda ry completions that occurred after the participant left the VUB program (either completing or not). If participant has earned more than one bachelor’s degree, report the date that the **first** bachelor’s degree was completed, You do not need to provide the e xact day; you may use 15 (midpoint of the month). If exact month or year is uncertain, use an estimate. If there is no basis for estimating the month, but the

### 20 year is known or can be estimated, use 01 for the month (e.g., 01/15/2013). If there is no basis for estimating the year, use 00/00/0000 ("Unknown"). **Once date of first**  **bachelor’s degree has been submitted in one y** **ear’s APR, the date must not change in a later reporting ye**  **ar.** 49 Length of Active Duty (2007
- 08 Postsecondary Ed. Cohort) VetAct ive Duty Participant in 2007

– 08 postsecondary education enrollment cohort who was called to active duty at any time between 2007

– 08 and 2012

– 13 and served on active duty during that period for: 1 = 1

– 11 months 2 = 12

–23 months 3 = 24

– 35 months 4 = 36

–47 mo nths 5 = 48

– 59 months 6 = 60

– 71 months 7 = 72

–84 months 8 = Called to active duty but number of months unknown 9 = N ot called to active duty, or active duty status is unknown 99 = Not applicable, not in 2007

– 08 postsecondary education enrollment cohort ✔

5 0 Participant’s Name Change ( Optional ) FullNameChange If the participant changed his or her name , and if the project needs to use this information to help track the student, please enter the participant’s changed full name (i.e., first and last name). If the student has not changed his or her name from that provided in fields LastNM and FirstNM (fields #5 and 6 ), there is no need to complete this field. Names entered here may be in a variety of formats, e.g., John Doe, John D. Doe, Jane Smith
- Doe, Jane Smith Doe, John Doe II, John Doe, Jr. Moreover, you will be able to update this field in subsequent reporting periods. ✔

**Note to Data Collector :**  **When y ou collect this information from participants, please make sure that y** **ou inform them why the**  **y are being asked to provid**  **e Social Security**  **numbers. Please see Privacy A** **ct statement below. Privac**  **y Act**  In accordance with t he Privacy Act of 1974 (Public Law No. 93
- 579, 5 U. S.C. 552A), you are hereby notified that the Department of Education is authorized to collect information to implement the Upward Bound program under Title IV of the Higher Education Act of 1965, as amend ed (Pub. Law 102
- 325, sec. 402C). In accordance with

### 21

this authority, the Department receives and maintains personal information on participants in the Upward Bound program. The p rinciple purpose for collecting this information is to administer the program, including tracking and evaluating participants’ academic progress. Providing the information on this form, including a S ocial S ecurity number (SSN), is voluntary; failure to disclosure a SSN will not result in denial of any right, benefit, or privilege to which the participant is entitled. The information that is collected on this form will be retained in the program files and may be released to other Department officials in the performance of official duties.