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OMB Approval No.: 1840-New 

Expiration Date: XX/XX/XXXX

Educational Opportunity Centers (EOC) Program

Form for Annual Performance Report

for Program Year 2011-12

Section I: Project Identification, Certification and Warning 

A. Project Identification

1. PR/Award Number [pre-populated]: ________________________________________________

2. Name of Grantee [pre-populated___________________________________________________

3. Address (City, State, Zip) [pre-populated]: ____________________________________________

4. Name of Project Director [pre-populated]: __________________________________________

5. Phone Number [pre-populated]: ________________ Fax Number [pre-populated]:___________

E-mail Address [pre-populated]:________________________________

6. Report Period [pre-populated]: ______________________ to ____________________________

 MM/DD/YYYY MM/DD/YYYY

7. Name of Data Entry Person: _______________________________________________________

Phone Number:______________________ E-mail Address: ______________________________

B. Certification: We certify that the performance report information reported and submitted electronically 

on _________ is readily verifiable. The information reported is accurate and complete to the best of our 

knowledge.

__________________________________ ___________________________________

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

__________________________________ ___________________________________

 Signature and Date Signature and Date

C. Warning: Any person who knowingly makes a false statement or misrepresentation on this report is 

subject to penalties which 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 this program 

unless this report is completed and filed as required by existing law (20 U.S.C. 1231a) and regulations (34 

CFR 75.591 and 75.720)
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Authority: Public Law 102-325, 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 is estimated to average 8 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 (Education General 

Administrative Regulations, 34 CFR 75.591 and 75.720; program regulations, 34 CFR Part 644 and Title IV, Section 402A and 402F of Higher 

Education Act of 1965, as amended (Public Law 102-325). 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 Avenue, S.W., Washington, 

DC 20202-4536 or e-mail hICDocketMgr@ed.gov and reference the OMB Control Number 1840-0561. Note: Please do not return the 

completed annual performance report to this address. 
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Section II: Demographic Profile of Project Participants and Listing of Target schools

 NUMBER

Participants Funded to serve [pre-populated] ________

A. Types of Participants Assisted

1. New participants _______

2. Continuing participants _______

3. Total participants _______

B. Participant Distribution by Eligibility

1. Low-income and potential first-generation college students _______

2. Low-income only _______

3. Potential first-generation college students only _______

4. Other _______

5. Total (must equal A3) _______

C. Participant Distribution by Race and Ethnicity

1. American Indian or Alaska Native, non-Hispanic/Latino

2. Hispanic/Latino of any race 

_______

3. Asian, non-Hispanic/Latino _______

4. Black or African American, non-Hispanic/Latino

5. White, non-Hispanic/Latino

_______

6. Native Hawaiian or Other Pacific Islander, non-Hispanic/Latino

7. Two or more races, non-Hispanic/Latino

8. Race or Ethnicity Unknown

9. Total (must equal A3)

_______

_______

_______

D. Participant Distribution by Gender

1. Male _______

2. Female _______

3. Total (must equal A3) _______

E. Participant Distribution by Age (age of participants at time of 

 first service in budget period)

1. 10-13 _______

2. 14-18 _______

3. 19-27 _______

4. 28 and above _______

5. Unknown _______

6. Total (should equal A3) _______
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F. Military connected students (if applicable)

1. Veterans ________

2. Active duty military ________

3. Spouse of active duty military ________

4. Child of active duty military ________

5. Total ________

G. Participants with Limited English Proficiency (see 34 CFR 644.4(k) ________

H. EOC participants also served during the reporting year by another federally

 funded program (see 34 CFR 644.32(c)(4)) ________

1. Upward Bound (UB) ________

2. Upward Bound (UBMS) ________

3. Veterans Upward Bound (VUB) ________

4. Talent Search (TS) ________

5. GEAR UP ________

6. Student Support Services ________

7. Other ________

8. Served by more than one other federally funded program ________

I. TARGET SCHOOLS (if applicable)

Please list all the target schools served during this budget period. For each target school, include 

the school’s identification number listed in the Common Core of Data (CCD) of the National 

Center for Education Statistics (NCES), the name of the school, its city, state, zip code, and the 

number of participants served during the reporting period. A Web link to the CCD data will 

appear on the Web application to assist you in finding the NCES school identification numbers 

for your target schools.

This section will be pre-populated for projects that had grants in 2010-11. Please enter the 

requested information for each of the target schools served by the project and/or update or 

correct the data in the pre-populated list of target schools. Also, please check pre-populated 

NCES identification numbers for accuracy.

NCES School 

ID #

School name City State Zip 

Code

Number 

served
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J. INVITATIONAL PRIORITIES (if applicable)

Indicate whether your project addressed the following invitational priorities. 

1. The Secretary encourages applicants to work with appropriate State agencies to use data from 

State longitudinal data systems or to obtain data from reliable third-party sources when 

providing information on the implementation of their EOC projects and their participants’ 

outcomes.

1A. Not applicable □

1B. Yes □

If “Yes”, indicate below which data systems your project utilized.

State longitudinal data systems Third-party data systems

2. The Secretary encourages applicants to coordinate project services with school-level partners 

and other community resources in order to carry out projects that are cost-effective and best 

meet the needs of adult learners, including veterans.

2A. Not applicable □

2B. Yes □

If “Yes”, indicate below which community organizations, and partners your project coordinated 

and collaborated.

Community Organizations School-level Partners
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SECTION III: Educational Status of EOC Participants (at the time of first service in the reporting year)

A. Educational Status of Project Participants Aged 19 or Older (at time of first 

service in the reporting year)

NUMBER

1. Adult without a secondary school credential, enrolled as a high school senior or in 

an alternative education program at a level equivalent to a high school senior

_______

2. Adult without a secondary school credentials, not in high school or in an 

alternative education program at a level equivalent to a high school senior

_______

3. High school graduate or high school equivalency graduate not already enrolled in 

postsecondary education

_______

4. Postsecondary dropout with a secondary school diploma or credential _______

5. Postsecondary dropout without a secondary school diploma or credential _______

6. Potential postsecondary transfer

7. Postsecondary student

8. Unknown _______

_______

9. Total _______

B. Educational Status of Secondary School-Age Students (at time of first service 

in the reporting year)

NUMBER

1. High school non-senior (9th–11th grade) _______

2. High school senior or in alternative education program(12th grade only) _______

3. Secondary school dropout (not older than 18 years) _______

4. Other participants not older than 18 years _______

5. Total _______

Section IV: Educational Status of EOC Participants (at end of reporting period or for the following fall) 

In this section all the standard objectives are listed for your EOC project. The percentage for each of 

these standard objectives will be pre-populated in the online Web application for all grantees. The prepopulated numbers are based on the information provided on the Program Profile sheet submitted with 

your approved FY 2011 application. No changes may be made to these percentages on this form. 

However, if any of the pre-populated numbers reflects a data entry error, you must contact your 

assigned program specialist to resolve the problem. So as to allow the Department to report 

aggregated data gathered in a uniform manner, all EOC grantees must report outcomes based on the 

standard objectives identified in the FY 2011 application.

To better facilitate data collection, please enter a positive numeric value in each field. For fields not 

applicable to your project, please enter zero (0). If more than one response is possible for a given 

participant, choose the most recent status. Also, please refer to the “Definitions that Apply” section in 

the APR instructions for additional information on commonly used terms, e.g., secondary school 

diploma, and alternative education program, etc., that are new in this APR.
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A. OBJECTIVE: Secondary School Diploma

_____% of participants served during the project year that did not have a secondary school 

diploma or its equivalent at the time of first service in the project year will receive a secondary 

school diploma or its equivalent during the project year. 

Educational Status of Such Participants NUMBER

A1. Received a secondary school diploma or its equivalent 

A2. Enrolled in an alternative education program but did not complete

A3. Enrolled in high school but did not complete 

A4. Not enrolled in high school or an alternative education program

_______

A5. Deceased

A6. Unknown

A7. Total 

The denominator is the number of participants who did not have a secondary school diploma or its 

equivalent at the time of first service in the reporting year project year (sum of Section III A1, A2, A5, 

B1, B2, B3, and B4) minus the deceased. 

The numerator is the number of participants who received a secondary school diploma or 

equivalent during the project year (Section IV A1).

B. OBJECTIVE: Financial Aid Applications

_____% of participants served during the project year who at time of first service in the project 

year were not already enrolled in a postsecondary education program and who: 1) were high 

school seniors or equivalents in alternative education programs; 2) were high school graduates; 

or 3) had obtained a high school equivalency certificate will apply for financial aid during the 

project year. 

Financial Aid Completion NUMBER

B1. Completed a financial aid application __________

B2. Did not complete a financial aid application __________

B3. Unknown __________

B4. Total __________
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The denominator is the number of participants, at the time first service in the reporting period, who are 

not enrolled in postsecondary education, and who are high school seniors or equivalents in alternative 

programs or who have a secondary diploma or equivalent (Section III, A1, A3, A4, A6, and B2)

The numerator is the number of participants who applied for financial aid during the project year

(Section IV, B1).

C. OBJECTIVE: Postsecondary Education Admissions

____% of participants served during the project year who at time of first service in the project 

year were not already enrolled in a postsecondary education program and who: 1) were high 

school seniors or equivalents in alternative education programs; 2) were high school graduates; 

or 3) had obtained a high school equivalency certificate will apply for postsecondary admissions 

during the project year. 

Postsecondary Education Admissions NUMBER

C1. Applied for admission to a postsecondary educationprogram ________

C2. Did not apply for admission to a postsecondary education program ________

C3. Unknown ________

C4. Total ________

The denominator is the number of participants, at the first time of service in the reporting period, who 

are not enrolled in postsecondary education, and who are high school seniors or equivalents in 

alternative programs or who have a secondary diploma or equivalent (Section III, A1, A3, A4, A6, and B2)

The numerator is the number of participants who applied for admission to a postsecondary education 

programs (Section IV, C1)

D. OBJECTIVE: Postsecondary Education Enrollment

____% of secondary school graduates (or equivalents) who were served during the project year, 

and who were not already enrolled in a postsecondary education school at time of first service 

in the project year, will enroll in a postsecondary education program during the project year (or 

by the end of the next fall term), or will have received notification by the fall term of acceptance 

but deferred enrollment until the next academic term (e.g., spring term). 

Postsecondary Education Status of Participants NUMBER

D1. Enrolled in a postsecondary education program

(first time enrollment or reentry)

_______

D2. Did not enroll in a postsecondary education program _______

D3. Deceased _______

D4. Unknown _______

D5. Total _______

Please indicate, by selecting the appropriate option below, which interpretation of the objective was 

followed when the project established the postsecondary enrollment objective. 
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□ Option 1: The denominator for this objective would include participants that received a 

secondary school diploma or its equivalent during the reporting year (Section IV A1)

or

□ Option 2: The denominator for this objective would include participants that received a 

secondary school diploma or its equivalent during the reporting year (Section IV A1) and those 

participants who had a secondary school diploma or credentials at the time of first service 

(Section III A3, A4, and A6) during the reporting year.

The numerator is the number of project participants served who enrolled in a postsecondary education 

program during the reporting year or by the next fall term (Section IV, D1).

Note: Once an interpretation has been selected in the 2011-12 APR, it cannot be changed for the 

remainder of the current grant cycle to maintain consistent PE calculations across all PE 

assessment years.

E. Postsecondary Placements (Types of Institutions)

Please indicate the number of participants enrolled in postsecondary education for each type of 

postsecondary institution listed

TYPE AND CONTROL OF POSTSECONDARY INSTITUTIONS NUMBER 

E1. Public, two-year institution ________

E2. Private, non-profit, two-year institution ________

E3. Public, four-year institution ________

E4. Private, non-profit, four-year institution ________

E5. Public or non-profit vocational/technical institution ________

E6. Proprietary school ________

E7. Unknown ________

E8. Total (should equal Section IV, D1) ________