1 **OMB Approval No.: 1840**
**- 0777**  **Expiration Date: 01/31/2013** 

**U.S. DEPARTMENT OF EDUCATION Gaining Early Awareness and Readiness for Undergraduate Programs**  **(GEAR UP) Annual Performance Report for Partnership and St**  **ate Projects**
**COVER SHEET**
1. PR/Award Number: _________________________________________________________ (L ocated in block 5 of your grant award notification) 2. Name of Grantee: ___________________________________________________________ 3. Address: __________________________________________________________________ 4. Name of Project Director/Contact Person: ________________________________________ Phone Number: ______________________ Fax: ______________________________ E

- m ail Address: _____________________________________________________________ 5. Name of Certifying Official: ___________________________________________________ Phone Number: _______________________ E

- mail Address: ______________________ 6. Re port Period: _____________________________ to ________________________________

Month/Day/Year Month/Day/Year We certify that to the best of our knowledge, the information reported herein is accurate and complete.

_____________________________________ ______________________________________ Name of Project Director (Print) Name of Certifying Official (Print)

_____________________________________ ______________________________________ Signature and Date Signature and Date

According to the P aperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1840

- 0777 . The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. **If you**  **have any**  **comments concerning**  **the accuracy of the time estimate(s) or suggestions for i**  **mproving this form, please write to:** U.S. Department of Education, Washington, DC 20202

- 4651. **If you have**  **comments or concerns**  **regarding the**  **status of your individual submission of the form, write**  **directly to:**  The GEAR UP Program, U.S. Department of Education, 1990 K Street, N.W. , 7014 , Washington, DC 20006

- 8524

.2



### INSTRUCTIONS:
The following set of forms are the Annual Performance Report (APR) for GEAR UP State and Partnership projects. The APR is used by the Department of Education to determine whether substantial progress is m et when meeting the objectives of your project as outlined in your grant application and/ or work plan for this reporting period. Under section 75.590 of Education Department General Administrative Regulations ( EDGAR) , each eligible recipient that is awarded a GEAR UP grant must submit an APR describing their progress in meeting project goals and objectives. As required by the Government Performance and Results Act of 1993, th e APR is also used to collect data addressing the performance of the GEAR UP program on a national level. **Annual submission of the APR is a requirement of your grant and will be used to determ**  **ine continuation of**  **funding.** The APR consists of a cover sheet and six sections. The cover sheet must be completed and signed by the project director and the certifying official and returned to the Department of Education along with the six sections on or before the due date

. A separate announcement including thes e instructions and due date will be mailed to each grantee annually. Grantees are expected to complete all questions in the APR. Please define all terms specific to your program and spell out all acronyms the first time they are used. Except where otherwise indicated, the reporting period for this report is as follows:

 If this is the first award year of your grant, the reporting period includes the time period from the beginning of yo ur grant through March 3 1 st of this year.

 If this is the second through sixth or seventh aw ard y ear of your grant, the reporting period includes the period of time from the end of your last reporting period through March 3 1 st of this year.3



### SECTION I: EXECUTIVE SUMMARY 1. Please provide a brief description (1

- 2 p ages) of the current status of y our project. Describe the extent to which you have implemented all program activities and components planned for this reporting period. Highlight your major outcomes, successes, and concerns.4



### SECTION II: NARRATIVE **INFORMATION**

1. The mission of the GEAR UP program is to significantly increase the number of low

- income students who are prepared to enter and succeed in postsecondary education. Briefl y describe how y our project is furthering the mission of the GEAR UP pr ogram. Specificall y, address how y our project is: a) improving academic performance of students in the GEAR UP cohort; b) increasing educational expectations of participating students and their parents ; c) improving student and family

knowledge regarding postsecondary education preparation and financing; and d) working to improve high school graduation and college enrollment rates.

2. What aspects of your program do you think are most successful (have the greatest impact)? Why ?

3. What barriers or problem s have you encountered in planning, developing, implementing, and/or administering y our grant ? H ow have you addressed these problems?

4. Describe briefl y the progress that you have made during this reporting period in implementing yo ur evaluation pl an as described in your approved application for GEAR UP funding.

5. Describe how your project’s activities and outcomes are likel y to be sustained over time. What sy stemic changes have occurred in y our school(s)?

6. Please provide an y additional inform ation about your project that you think would be helpful to the Department of Education in evaluating your performance or understanding the contents of yo ur annual report.5

7. Describe the progress that y our project has made towards accomplishing the objectives of your project for this reporting period as outlined in y our grant application or work plan. Please list yo ur objectives in the table below, and indicate what activities have taken place, the quantitative results of those activities, and actio ns required (what, if an y, changes do you intend to make in response to the results that y ou have seen). You may extend this table on to another page as needed.

**Objectives: List the approved objectives from** 

**your grant application or work plan.**  **Where a pplicable, provide**  **baseline data. Activities: List the activities**  **that have been conducted to me**  **et the objective. Results: Has the objective**  **been met? If not, what progress have you made in**  **reaching the objective? Actions required: Are you**  **planning t o**  **make changes to the grant in response to the**  **results?** Example: 1. Enrollment in 7 th grade pre

- algebra, 8 th grade algebra, and 8 th grade advanced science classes will increase by 5% by next year. Baseline: Pre

- algebra 7 th grade

-- 10% Algebra 8 th grade

-- 5% Ad v. Sci. 8 th grade

-- 20% Example: Instructional support services, staff development to improve instruction, and articulation with elementary schools Example: Enrollment changes from 200 8 / 09 to 20 09 / 10 : 1) 7 th grade pre

algebr a: +65% 2) 8 th grade algebra: +5% 3) 8 th grade advanced science:

- 6% (due to increased standards for enrollment). Example: Continue to identify students needing intervention services based on achievement scores. Add science component to after school tut oring program.

1.

2.

3.

4.

5.

6.

7.

8.6



### SECTION III: GRANT ADMINISTRATION AND BUDGET INFORMATION

1. In the following table, please provide information about y our actual and anticipated Federal expenditures for the **current budget period**

. The current budget period can be found in Section 6 of y our current Grant Award Notification (GAN). You do not need to fill in the shaded boxes, but please indicate total amounts in line E for all columns. * **If this is t he first award year of**  **your grant, the reporting period includes the time period from the beginning of your grant through March 3**  **1 st**  **of this year.**



### Federal Budget Summary

**Total Federal Funds Awarded**  **for Current Budget Period**  **( See Current**  **GAN )**  **Carryove r Funds** 

**A vailable (Include Funds**  **Carried Over From Previous**  **Budget Period(s)) Actual Federal**  **Expenditures fr om**  **Current Budget Period (GAN Start Date) thru**  **March of APR**  **Submission Year Anticipated Federal**  **Expenditures f**

**rom April**  **to Current**  **Budget Peri od**  **End Date**  **Anticipated**

**Carryover to Next Budget Period (if**  **applicable)**

**1. Salaries and**  **Wages**

**2. Em** **ployee Benefits**

**3. Travel** 

**4. Materials & Supplies** 

**5. Consultants &**  **Contracts 6.**  **Other**
**A. Total Direct**  **C osts**  **:** (Lines 1

– 6 ) **B. Total Indirect Costs:**  **C. Equipment**  **D .**  **Scholarships/ Tuition Assistance**  **E . Total Costs**  (A+B+C +D )7

**2.** In the following table, provide information about your actual and antici pated non

- Federal matching contributions for the current budget period

. **Current budget period can be found in Section 6 of your current Grant Award Notification (GAN)**  **.** * **If this is the first award year of your grant, the reporting period includes the ti**  **me period from the beginning of your grant through March 3**  **1 st**  **of this year.**



### Non **- Federal Matching Budget Summary** 
**Matching Contributions Proposed For Current**  **Budget Period (**  **See Current GAN )**  **Actual Matching Contributions**  **for Current**  **Budget Period Apr**  **il**

**– March** * **Anticipated Matching Contributions fr**  **om April**  **to Current Budget**  **Period End Date**  **1. Salaries and Wages 2. Employee Benefits** 

**3. Travel** 

**4 .**  **Materials & Supplies**

**5 .**  **Consultants & Contracts 6**  **. Other** 
**A. Total Dire ct Costs:**  (Lines 1

– 6 ) **B. Total Indirect Costs:**  **C. Equipment D**  **. Scholarships/ Tuition Assistance**  **E .**  **TOTAL COSTS** (A+B+C +D ) **If you requested a match reduction in your original application, please check the box.** 8

3. In the following table, please provide information about y our actual Federal and matching expenditures for **previous, completed budget**  **periods .**  For example, for grant s that began in Fiscal Year 2009 , the Year 1 budget period would be July 200 9 through June 20 10

. **First year grantees do not need to fill out this table.** If you are in the second through seventh ye ars of yo ur grant, fill out information only

for completed budget periods.

**Actual Federal**  **Expenditures Year 1**  **Actual**

**Matching Contributi**  **ons Year 1**  **Actual**

**Federal Expenditures**  **Year 2 Actual** 

**Matching Contributions**  **Year 2 Actual** 

**Federal Expenditures**  **Year 3 Actual** 

**Matching Contributions**  **Year 3 Actual** 

**Federal Expenditures**  **Year 4 Actual** 

**Matching Contributions**  **Year 4 Actual** 

**Federal Expenditures**  **Y ear 5**  **Actual**

**Matching Contributions**  **Year 5 Actual** 

**Federal Expenditures**  **Year 6 Actual** 

**Matching Contributions**  **Year 6 1. Salaries**  **and Wages 2. Employee**  **Benefits 3. Travel**  **4. Materials & Supplies**  **5. Consul**  **tants & Contracts**  **6. Other A. Total**  **Direct Costs:** (Add lines 1

– 6) **B. Total Indirect**  **Costs C.**  **Equipment D.**  **Scholarships/ Tuition**  **Assistance E. TOTAL**  **COSTS** (A+B+C+D)9 4. If you are not expending **Federal or**  **matching funds**  as originally budgeted, please provide an explanation for the change

. Please describe how you plan to expend carryover funds and/or how y ou plan to meet y our matching requirements

. 5. Describ e any

significant changes in your project design since the approval of y our grant application ( e.g. , changing from individual tutoring to group tutoring or placing more emphasis on enrichment activities rather than remediation). Do you anticipate making c hanges to your project design in the coming ye ar? I f so, please describe. How have any changes or anticipated changes affected y our budget? How will these changes impact quantitative outcomes and your ability to meet the project’s goals ? 6. Please list th e names and titles of all individuals paid by GEAR UP Federal or matching funds, and indicate the percentage of time each individual spends working on the GEAR UP grant. (If the percentage of time is not available, you may indicate the number of hours that individual was paid with GEAR UP funds instead.) 7. Describe an y changes to key personnel of this grant that have come about over the past ye ar, including changes in titles, changes in percentage of time that a person is devoting to the project, hiring of a key

staff person, departure of a key staff person, or addition or elimination of a position. Discuss an y significant changes to key personnel proposed or anticipated for the coming reporting period . ( Do not request replacement of key personnel or the addition / elimination of position(s) here. That type of request is a change that requires an administrative action and must be addressed separate from this report. Your response should be a summary of approved and completed changes that have take place during this reporting period. ) 8. Describe an y changes to the roles of your partners during the past year. Have an y partners been added to your grant? Have an y partners discontinued their participation in your grant? Has the role of an y existing partner chang ed significantl y? 9. Describe briefl y your project’s record keeping system for collecting and reporting student outcome/achievement data and participation in GEAR UP activities. Specifically , how fr equently are data collected, and what method(s) does your project use to collect and maintain data regarding student, parent , and teacher participation in GEAR UP activities? 10. How do y ou link student outcome/achievement data with student participation? How does y our project use the data collected to evaluate and guide the project? 11. Describe your record

- keeping s ys tem for maintaining source documentation for all federal and non

federal expenditures (e.g., time and effort record (which include percentage of time spent on grant activities), transportation cost, e quipment, supplies, college field trip s , and other GEAR UP expenditure s )

. Who is responsible for maintaining the documentation? 12. If your project has a scholarship component for postsecondary education, please provide: a) information about the amount of sc holarship money (Federal and

/ or non - Federal matching funds) that has been reserved and/or obligated; b) information regarding where scholarship funds are held pending distribution to former GEAR UP students ( e.g. , are the funds in a trust account?); and c ) how the funds will be disbursed and to whom. If you have alread y disbursed scholarship money to students, please indicate the amount of money disbursed, the number of students who received10

scholarships, and the average amount of the scholarships awarded

. **NOTE: Scholarship funds are subject to audits or monitoring by authorized representatives of the Secretary throughout the**  **life of the funds.** 13. Please indicate the number of GEAR UP 12 th grade students who have completed the Free Application for Federal Student Aid (FAFSA)

-

______ (number of students). 14. Please complete the following table. List all partners and indicate with an “ **X** ” whether they are original partners listed in the application or new partners added during implementation. If an y of these partners have become inactive and are no longer participating in the grant, please indicate this with an **“X”** in the column provided. If a partner is new, indicate with an **“X”** if yo u have provided the program office with a Partner Identification Form and Cost Share Worksheet to update the application. Rows can be added to this table if you have more partners. **Partner Name Original**  **New In**  **a ctive**  **Submitted Partner Identification Form**  **and Cost Share Worksheet**  **Type of Partner**

**(IHE)**

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Please indicate the t ype of partner from the following options and enter the letter in the column provided: C = Community

Organization , F = Faith

- based Organization, B = Historically Black College and University (HBCU), H = Hispanic Serving Institution (HI S), O = Other Ty pe of Organization, P = Other Postsecondary Institute, and S = School/District , IHE= Institute of Higher Education

.11 1 5 . Indirect Cost Agreement: Indirect cost reimbursement on a training grant is limited to the recipient’s actual indirect costs, as determined b y its negotiated indirect cost rate agreement, or eight percent of the modified total cost base, whichever amount is less. In order to claim an indirect cost on next y ear’s budget, the grantee must provide information on their current agreement. **Check one of the three options.**  1. Current Indirect Cost Agreement: Effective date of agreement: Beginning date: _

____ Ending date: _________, Current rate:_________ 2. Requesting indirect Cost Agreement: If you’ve requested an indirect cost rate agreement but have not receive one, y ou should provide your program officer with evidence of your contact with the cogni zant agency and their response

. If a negotiat e d indirect cost rate agreement was not awarded, a grantee using the training rate of eight percent is required to have documentation available for audit that shows that its indirect rate equals or exceeds the eight percent. Please indicate whether your program officer has documentation of your attempt to secure an indirect cost rate agreement Yes No 3. Do not claim indirect cost. 16. Scholarship Funds: Please report on all Federal and non

- F ederal funds reserved and held for GEAR UP Scholarships and the disbursement of those scholarship funds to eligible students. **NOTE: Scholarship funds are subject to audits or monitoring by authorized representatives of the Secretary**  **throughout the life of the funds. 1.**  **Federal Scholarship Funds: $________________**  **:** Amount of funds reserved for GEAR UP students $________________: Amount of funds disbursed to GEAR UP students $________________: Total number of students recei ving scholarships $________________: Amount of unexpended funds to be returned to the Department **2. Non**  **- Federal Scholarship Funds:**  $ ________________: Amount of funds reserved for GEAR UP students $________________: Amount of fund disbursed to GEA R UP students $________________: Total number of students receiving scholarships12 

### SECTION IV: DEMOGRAPHIC DATA AND DATA REGARDING SERVICES **PROVIDED**

**1. Demographic Data:**  Please complete the following tables requesting demographic data on GEAR UP students. **A. Students Served:**  Please complete the following table indicating the number of students served b y your project. **Number of Students** Number of students you proposed to serve during the reporting period (information supplied from ap plication by the program office) Actual number of students in your cohort(s) during the reporting period (i.e., number of students served) **State grants only:** If you are serving students through a statewide initiative please indicate that number here. These numbers do not include those students stated on the Student Served Form in your proposal and reported in the actual students served count shown above. (An example of this may

be a statewide homework hotline where students can call in and receive ass istance with their assignments.) **Number of Students served under statewide initiatives________** 

**B. Participant Distribution by Ethnic Background:**  **The foll owing table regarding the**  **ethnicity/race background of GEAR UP students is**  **mandatory and will be used b**  **y the**  **Department of Education in reporting on the ethnic ity/race**  **characteristics of students served by the program.**  The ethnicity /race categories used in this section are consistent with the Department of Education’s policy on the collection of racial and ethnic information. These categories are defined as follows: **1. Ethnicity**  **Hispanic or Latino**

**–** A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race. **2. Race**  **Am erican Indian or Alaska Nat**  **ive**

**–** A person having origins in any of the original peoples of North America, and who maintains cultural identification through tribal affiliations or community recognition. **Asian**

**–** A person having origins in any of the original peoples of the Far East, Southeast Asia, and the Indian subcontinent. This area includes, for example, China, India, Japan, Korea, and the Philippine Islands. **Black or African American**

**–** A person having origins in any of the black racial groups of Africa. **Native Hawaiian or O ther Pacific Islander** 

**–** A person having origins in any of the original peoples of Haw aii or other pacific islands such as Samoa and Guam.13 **White**

**–** A person having origins in any of the original peoples of Europe, North Africa, or the Middle East. **Two or mo**  **re races Ethnicity**  **and/or Race U**  **nknown Ethnicity:**  **Number of GEAR UP Students** Hispanic or Latino **Race:** American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Tw o or More Races Race and/or Ethnicity Unknown **Total**
**C. Participation by Gender:**  Complete the following table regarding the gender of GEAR UP students.

**Gender: Number of GEAR UP students**  Male Fem ale **Total Students Served (should equal total number of students i**  **n cohort in Section IV, 1A) D. Participant Distribution by Grade and New or Continuing Status:**  Please complete the following table indicating the number of students in each grade that are new to GEAR UP (received GEAR UP services for the firs t time during the reporting period) and the number of current students who are continuing (received GEAR UP services during a prior period).

**Grade Level: Number of New GEAR UP**  **Students Number of Continuing**  **GEAR UP Students** K

- 4 5 6 7 8 9 10 11 12 **First Year IHE Enrollment**

**Total**14

**E. Participants with Limited English Proficiency:**  Completion of this table is not mandatory but is extremely

helpful to the Department of Education in reporting on the characteristics of students served b y the GEAR UP program. If you choose to do so, please complete the following table indicating the number of GEAR UP students with Limited English Proficiency served by

y our project during the reporting period.

**Limited English Proficiency:** For the purposes of this table, Limited English Proficiency means a person whose native language is other than English and who has sufficient difficulty speaking, reading, writing, or understanding the English language to deny that individual the opportunity to learn successfully in classrooms in which English is the language of instruction.

**Number of GEAR UP Students** GEAR UP students with Limited English Proficiency

**F. Participants with Individualized Education Programs (IEPs) as Required by the Indiv**  **iduals with Disabilities in Education Act Amendment of 1997 (IDEA):**  Completion of this table is not mandatory

but is extremely

helpful to the Department of Education in reporting on the characteristics of students served b y the GEAR UP program. If you cho ose to do so, please complete the following table indicating the number of GEAR UP students with Individualized Education Programs.

**Number of GEAR UP Students** GEAR UP students with Individualized Education Programs15 **2. Participating Schools and Hou**  **sing Projects:** Please complete the appropriate table below indicating the schools or housing projects participating in your grant. **A. Participating Schools:**  If your grant is a partnership grant using a cohort model, please list all of the schools participating in your GEAR UP project. A participating school is a partner school identified in your GEAR UP application or is a school in which GEAR UP services are provided. **Please include all schools you identified in your application, even if they do not yet**  **have students participating in GEAR UP** ( e.g., if the GEAR UP cohort consists of 7 th graders, please list the GEAR UP high school(s) that the students will attend). In appropriate boxes, indicate all relevant grade levels separated by commas ( e.g., 6, 7, 8 ). **State grants and partnership grants using a public housing model do not need to complete this table.** 

**Nam e of School**  **Grade**

**Levels Offered**  **Grade Levels**

**Served by GEAR UP**  **Percentage of Students Eligible**

**for Free and Reduced Price**

**Lunch City**  **State Zi**  **p Code** 

**B. Participating Housing Projects:**  Complete this table **only if your project uses a public housing model.**  If your project is serving a public housing authority, please provide the name(s) of the public ho using project(s). Indicate grade levels separated by commas ( e.g. , 6, 7, 8).

**Nam e of Public**  **Housing Project Grade Levels** 

**Served by GEAR UP**  **City State**  **Zi p Code** 

**C. State Grants only: Number of Schools Participating in State GEAR UP**  **Projects** Please indicate the number of schools participating in yo ur GEAR UP project during the current y ear. **Partnership grants do not complete this table. Number of Schools Participating in the State GEAR UP**  **Project**16 **3. Services Provided to Stud**  **ents:** Inthe following table, place an “X” in the first column next to the ty pes of services provided by y our project with GEAR UP Federal or matching funds. For each t yp e of service provided, indicate the number of students who received the service duri ng the reporting period and the average number of hours of service provided per student during the reporting period.

**Place an “X” in this column if your project**  **provides this type of service**  **Type of Service**

**R**= Required Activity **Number of Students in the GEAR UP Cohort Who**  **Received the Service Average Hours of Service**  **Per Participant Receiving the Service Per Year**  Supportive Services ( **R)** Rigorous academic curricula ( **R )** 
Com prehensive Mentoring ( **R )**  Financial aid counseling/ adv ising ( **R )**  C ounseling/ advising/ academic planning/career counseling ( **R )**  College visit/ college student shadowing Job site visit/job shadowing Summer programs Educational field trips Workshops Family/cultural events Other (please specify)

**4. Services Provided to Parents:**  In the following table, place an “X” in the first column next to the ty pes of services provided by y our project using GEAR UP Federal or matching funding. For each ty pe of service provided, i ndicate the number of parents (or guardians) who received the service during the reporting period and the average number of hours of service provided per parent during the reporting period.
**Place an “X” in this column if your**  **project provides this type of**  **service Type of Service**  **Number of Parents of Students in the GEAR UP**  **Cohort Who Received the Service**  **Average Hours of Service**

**Per Participant Receiving the Service Per Year**  Workshops on college preparation/financial aid Counseling/advising Coll ege visits Family events Other (please specify)17 **5. Services Provided to Teachers:**  Please complete the following table indicating professional development provided to GEAR UP teachers. Include all teachers who taught GEAR UP students, wheth er or not their salaries are paid using GEAR UP funding.
**Number of Teachers Who Taught GEAR UP Students**  **During the Reporting Period Number of Teachers of GEAR UP**  **Students Who Participated in GEAR UP Sponsored Professional Development**  **During the Reporting Period (April**  **through March) Average Hours of Professional**  **Developm ent Per Participating**  **Teacher During the Reporting Period** 

**6. Services Provided to Schools**  : Please complete the following table indicating services provided to GEAR UP schools.

**Place an “X” in this column if your**  **project provides this type of**

**service Type of Service**  Curriculum development Dual or current enrollment programs Other (please specify)18 

### SECTION V: GEAR UP STUDENT OUTCOMES This section of the report requests outco me information for current participants. Please report on your current GEAR UP students’ grades as of the time this report is submitted. Grantees are not required to report end of the y ear school grades. **1. Students Enrolled in Advanced Courses by Grade Leve**  **l:** Please complete the following table indicating the number of current GEAR UP students enrolled in advanced courses. “Advanced courses” are classes that are identified as above grade level b y the student’s school. If an advanced course is not offered, please respond “N/A”. **Current grade level**  **Number of Students**

**Enrolled in Advanced Mathem**  **atics Courses Number of Students**  **Enrolled in Advanced English/Language Arts**  **Courses Number of Students**  **Enrolled in Advanced Science Courses**  6 7 8 9 1 0 11 12 **First year IHE**  **Total**19 **2. Course Completion:**  Please complete the following table indicating the number of GEAR UP students who have successfully completed the courses identified. The names for math classes can vary among schools . Classify courses based on the content of the course. “Advanced Placement” classes are courses designed to prepare students for the Advanced Placement Exams. **G rantees in**  **their first year do not need to**  **complet e**  **th is question.**  **Enter the numbers**  **in the grade level the**  **cohort was in when the course was completed.**

**Grade student**  **was in when**  **course was**  **com pleted**  **Pre**  

** algebra** **Algebra I**

**or equivalent**  **Geometry Algebra**  **II Calculus**  **Chemistry Physics**  **At least one**  **Advanced Placem**  **ent class** 
6 7 8 9 10 11 12 **First Year**  **IHE Total** 

**Grade student**  **was in when**  **course was**  **com pleted**  **Trigonometry Pre**  **** **Calculus Biology**  **At least one International**  **Baccalaureate class**  **At least two**

**years of m ath**  **be yond**  **Algebra I**

6 7 8 9 10 11 12 **First Year**  **IHE Total** 20 3. **Educational Progress by Current GEAR UP Students:** Please complete the table below indicating educational progress of current GEAR UP students. Where available, use standardized test scores to determine whether a student is performing at or above grade level. **New grantees in their first year of implementation should not complete the two columns on performance. Enter the numbers in**  **the row that coi ncides with the grade the students are in during the current school year.**  (e.g. If you served sixth grade during the first year of the grant and a standardized test was administered the first year to that sixth grade, please report on res ults of that stand ardized test when submitting the APR in the second year placing the information in the row for 7th grade since those students would be seventh graders in the second year.)

**Current Grade**  **Number of Students**

**Performing at or above Grade Level**  **in Englis h/Language**  **Arts Number of**  **Students Performing at or**  **above Grade Level in Mathematics**  **Number of**

**Students Prom**  **oted to the Next Grade**  **Level at the End of the Prior**  **School Year Number of Students** 

**with 5 or More Unexcused Absences**  **During the First 2 Quarters of**  **the School Year**  **Number of Students Tak** 

**ing the PSAT**  **or PLAN by end of**  **10 th**  **Grade Number of** 

**Students Tak**

**ing ACT or SAT Exam**  **by the end of 11 th**  **Grade**
6 7 8 9 10 11 12 **Total**

4. **Baseline High School Gradu ation and College Enrollment Data**  

### : This table will be completed **once** at the time the students of the first cohort are 11 th graders

. **For each target high school** , give the number of 12 th graders, the number graduating with a high school diploma, and the number enrolled in post

- secondary institutions (enrollment in less than 2 y ear , 2 y ear, and 4 y ear institutions) for the previous two y ears (e.g. if your first cohort are 11 th graders in the current school year (

200 9

- 20 10), then you would complete th is tab le using figures from the 2007

- 2008 and 200 8

- 200 9 school years).

* 12 th graders are those students who have the credits required to be considered a 12 th grader / senior. Example **High School School year**  **Number of 12**  **th grade**  **students Number who** 

**gradu ated**  **Number**

**enrolled in post**  **secondary institution**  Madison H.S 200 7

- 200 8 1050 95 5 7 5 0 Madison H.S 200 8

- 200 9 950 802 67021

Fulton H.S. 200 7

- 200 8 750 500 125 Fulton H.S. 2008

- 2006 9 807 567 145

Graduation r ate and enrollment rates will be calculated. Graduation rate 7 9

. 4 % Enrollment rate 4 7

. 6 %

Rows can be added to the table.

**High School School year**  **Number of 12**  **th grade**  **students Number** 

**who graduated**  **Number**

**enrolled in post**  **secondary institu**  **tion**

Graduation rate and enrollment rates will be calculated. Graduation rate Enrollment rate22 

### SECTION VI: SURVEY DATA In order to complete the APR, y ou will need to administer survey s to GEAR UP students and p arents at least **every two years** . Separate survey s should be provided to GEAR UP students and parents. **Each survey must include certain mandatory questions**  . Mandatory questions for the student survey are listed in Appendix A. Mandatory

questions for the parent survey are listed in Appendix B. If desired, you may translate these questions into other languages. If you would like to add additional questions to the survey s for y our internal purposes, you may do so. If you are in the first award period of yo ur grant and y ou have not y et conducted student and parent survey s, y ou may respond “N/A” to the questions in this section. **Please aim to give a copy of the survey to**  **each student and one of his/her parents** 

**1. A. Survey Administration**  : In the followin g box, please describe how your student and parent survey s are administered. When are the survey s distributed and how ( e.g., are the survey s distributed in the classroom, at GEAR UP events, through the mail, or during home visits)?
**Describe the Adminis tration of Your Surveys** 

**B. Adequate response rates for the surveys have been set at 50% for the parent survey, and**  **80% for student survey.** Please list the response rates for your parent and student survey s. **Parent Response Rate**

_ **___ %**  **Stude nt Response Rate**  ____ **%** If your response rates for the parent and/or student surveys are lower than the percentages given, please answer the following:23 **What steps will you take to ensure that rates will increase the next time the survey(s) is administered?** 

**2. Student Survey Results:**  Please complete the following tables indicating the results of your student survey

. **A. Grade Level of Survey Respondents:**  Please complete the following table indicating the number of GEAR UP students at each grade level who were given and responded to the survey

. **Grade Level Number of students given the**  **survey Number of students who responded to**  **the survey** 6 7 8 9 10 11 12 Other Total **Explain why the target survey response rate(s) was not met.**24

**B. Number of Students who**  **have spoken**  **with someone**  **about College Entrance Requirements and Financial Aid:**  Please complete the following table indicating student response to survey questions 2 and 3 in Appendix A (Survey s)

. **G rade level**  **Number of students who**  **have spoken**  **with som eone about**  **college entrance requirements.**  **(Students who responded positively to question No.**  **2 from Appendix A.) Number of students**  **who have not**  **spoken with som**  **eone about college entrance**  **requirements. (Students who responded**  **negatively to question No. 2 from Appendix A.)**  **Number of students who**  **have spoken**  **with som eone about**  **the availability of financial aid.**  **(Students who responded positively to question No.**  **3 from Appendix A.) Number of students**  **who h**  **ave not**  **spoken with som**  **eone about the availability of**  **financial aid. (Students who responded**  **negatively to question No. 3 from Appendix A.)**  6 7 8 9 10 11 12 Other Total

**C .**  **Perceptions of Affordability:** Pl ease complete the following table indicating student

response to question #6 from Appendix A, “Do y ou think that you could afford to attend a public 4

- ye ar college using financial aid, scholarships, and your family ’s resources?” **Response Number of Student**  **s Responding** Definitely Probably Not sure Probably not Definitely

not

**3. Parent Survey Results:**  Please complete the following tables indicating the results of your parent survey
. **A. Number of Parents**  **w ho**  **were given**  **and completed**  **the Survey :**  Please complete the following table indicating the number of parents who were given and responded to the s urvey . **Number of Parents Given Survey Number of Parents Who Completed Survey** 25

**B. Number of Parents**  **who have**  **spoken with**  **someone about**  **College Entrance**  **R equirements and Financial Aid:**  Please complete the following table indicating parent response to survey questions 1

- 3 from Appendix B. **Response Total Number of Parents Responding**  Question 1 A , Yes (have spoken with some one about college entrance requirements) Question 1 B , No (have not spoken with someone about college entrance requirements) Question 2 A , Yes (have spoken with someone about financial aid) Question 2 B , No (have not spoken with someone about financial aid)

**C. Number of**  **Parents who have**  **spoken with**  **t heir**  **c hildren about**  **College:** Please complete the following table indicating parent response to survey question #4 from Appendix B, “Have you talked with your child a bout attending college?”
**Response Total Number of Parents Responding**  Yes No

**D. Educational Expectations:**  Please complete the following table indicating parent

r esponses to survey

question #5 in Appendix B, “What is the highest level of ed ucation that you think y our child will achieve?”
**Response Total Number of Parents Responding**  High school or less Some college, but less than a 4

- ye ar college degree 4

- ye ar college degree or higher

**E. Perceptions of Affordability:**  Please comp lete the following table indicating parent response to question # 6 from Appendix B, “Do y ou think that your child could afford to attend a public 4

- ye ar college using finan cial aid, scholarships, and family resources?”
**Response Number of Parents Responding**  Definitely Probably Not sure Probably not26 Definitely

not27 

### APPENDIX A
The student survey

must contain the following questions: 1. What is your current grade level? a. Grade 6 b. Grade 7 c. Grade 8 d. Grad e 9 e. Grade 10 f. Grade 11 g. Grade 12 h. Other 2. Has an yone from your school or GEAR UP ever spoken with you about college entrance requirements? a. Yes b. No 3. Has an yone from your school or GEAR UP ever spoken with you about the availability of financial aid to help you pay for college? a. Yes b. No 4. Are you knowledgeable about financial aid and the cost and benefits to you of going to college ( **YES)_______________ (NO) _______________**  5. What is the highest level of education that you expect to obtain? a. High sch ool or less b. Some college but less than a 4

- year college degree c. 4

- ye ar college degree or higher 6. Do y ou think that y ou could afford to attend a public 4

- ye ar college using financial aid, scholarships, and y our family ’s r esources? ( **YES)_______________ (NO) _______________** 28 

### APPENDIX B The parent survey

must contain the following questions:

1. Has an yone from your child’s school or GEAR UP ever spoken with you about college entrance requirements? a. Yes b. No 2. Has an yone from your child’s school or GEAR UP ever spoken with you about the availability

of financial aid to help you pay for college? a. Yes b. No 3. Are you knowledgeable about financial aid and the cost and benefits of yo ur child pursuing postsecondary ( **YES)___**

**____________ (NO) _______________**  4. Have you talked with your child about attending college? a. Yes b. No 5. What is the highest level of education that you think y our child will achieve? a. High school or less b. Some college but less than a 4

- year college degree c. 4

- ye ar college degree or higher 6. Do y ou think that y our child could afford to attend a public 4

- year college using financial aid, scholarships, and yo ur family ’s resources? ( **YES)_______________ (NO) _______________**