HEP Performance Report Instructions 

## High School Equivalency Program **U.S. Department of Education Annual Performance Report and**  **Final Performance Report** 

## Instructions

**Table of Contents Organization...................................................................................**  **... 2**  **Introduction .**  **. ....................................................................................**  **3 General Instruction** **s for HEP Performance Reporting .**  **.. .**  **............................ .**  **6 Instructions for the Cover Sheet**  **Form ..**  **................................................... .**  **8 Instructions for the Performance**  **Report Form**  **. .................................**  **...... .**  **12 Instructions for**  **the HEP GPRA 1**  **Documentation Form .**  **...................... ........**  **. 3**  **3 Appendix 1 The Cover Sheet Form**  **Appendix 2 The Performance Report Form Appendix 3 The**  **HEP GPRA 1 Documentation Form** 

### - 2
- HEP Performance Report Instructions **Organization** The Annual Performance Report (APR) is organized into four (4) reporting mediums (files): 1. The Cover Sheet, 2. Performance Report Form: Blocks A
-C and E2 (Microsoft (MS) Excel format), 3. Performance Report Form: Blocks D, E 1 and F (MS Word format) , and 4. The HEP GPRA 1 Documentation Form (MS Word Format, separate file)
. The Office of Migrant Education (OME) has divided the report into these sections due to the two types o f content: text and numerical. The following table summarizes the sections (blocks) and the type of mediums (files) being reported . Ultimately, all sections of the APR will be submitted through the G5 system. **Sections of Annual Performance Report Sections**  **Reporting**

**Form at**  **Type** Cover Sheet G5 (online) Text/Online Block A MS Excel Numerical Block B MS Excel Numerical Block C MS Excel Numerical Block D MS Word Text Block E E1 in MS

Word Text E2 in MS Excel Numerical Block F MS Word Text HEP GPRA 1 Doc. form MS Word

(separate file) Text/Signature

The **Cover Sheet** is to be submitted online through the G5 system. **Performance Report Form: Block**  **A, Block B, Block C and Block E2** is to be reported in the MS Excel format file and then uploaded into the G5 system. **Performance Report Form: Block D, Block**  **E1 and BLOCK F**  is to be reported in MS Word format ultimately converted into a Portable Document Format (.PDF) file and then uploaded into the G5 system. **HEP GPRA 1 Doc um**  **entation Form**  will also be a MS Word format file MS Word file converted into a .PDF and then uploaded into the G5 system
. For your convenience, the **Performance Report Form: Block A, Block B, Block C and Block E2**  **( MS**  **Excel format file)**  has a color coding system to clearly show the type of information you must provide.

### - 3
- HEP Performance Report Instructions **Performance Report Form: Block A, Block B, Block C and** 

**Block E2 (MS Excel File)**  **Color Coding Highlighted**  **Color Inform** **ation to**

**be entered** Blue Enter

Numerical Yellow Check Box Green Enter Text

**Introduction** The High School Equivalency Program (HEP) is intended to assist migrant and seasonal farmworker students in obtaining the equivalent of a high school diploma and, subsequently, to begin postsecondary education, enter military service, or obtain employment. The legislation that authorizes the HEP program 1 and the Education Department General Administrative Regulations (EDGAR) 2 require each of the funded projects to submit an annual performance report demonstrating that substantial progress has been made towards meeting the approved objectives of the project. In addition, the Department requires grantees to report annually on their progress toward meeting the performance measures established for the ED grant programs under the Government Performance and Results Act (GPRA). The performance reporting forms included here are the tool s designated by the Department for grantee reporting.
The HEP GPRA measures are listed below: **Objective 1**  **of**

**2 :**  An increasing percentage of HEP participants will receive their High School Equivalency (HSE) credential
. **Measure 1.1**  **of 1:**  The percentage of HEP program exiters receiving an HSE credential
. (Desired direction: increase 3 ) **Calculation** : This measure is calculated by dividing the number of HSE attainers (the number of HEP HSE eligible students who received an HSE credential by the end of the reporting period) by the total number funded, as per the approved application by the Office of Migrant Education (OME), or the number actually served (whichever is greater), MINUS the number of persisters. The MS Excel Form has been formulated to perform this operation
. For example:

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

1 The Higher Education Act of 1965 , as amended, Title IV, Sec. 418A; 20 U.S.C

. 1070d
-2
. 2 34 CFR 75.253 3 Note: Increasing percentages of HEP participants receiving GEDs and placement in postsecondary education, upgraded employment or military is the goal for the program office at the national level. Projects will be assessed individually, on an annual basis , as to their contribution to these measures.

### - 4
- HEP Performance Report Instructions **exactly** the total number funded to be served : GPRA Measure 1= total number of HSE attainers [total no. funded to be served minus total number of persisters] For grantees that actually serve **MORE** than the number funded to be served
. GPRA Measure 1= total number of HSE attainers [total no. actually served minus total number of persisters] **Example:**

**Grant Year**  **Incoming Students Outgoing Students**  **GPRA 1.1**  **(Percent attaining**  **a HSE** **) Total**  **Funded New**  **Returning from**  **Previous Year**  **Total**

**Funded HSE** 

**Attainers Withdrawals**  **Persisters (com** **ing back in**  **subsequent year)**  Year 1 100 100 0 100 65 30 5 68% Year 2 100 95 5 100 70 25 5 74% In this example, for grant Year 1, the denominator equals 95 (100 total funded minus 5 persisters). The numerator equals 65 ( HSE attainers), for a “success rate” of 6 5/95 or 68 percent. F or grant year 2, the denominator equals 95 (100 total funded minus 5 persisters). The numerator equals 70 ( HSE attainers), for a success rate of 70/95 or 74 percent. **Objective 2**  **of 2:**  An increasing percentage of HEP recipients of an HSE credential will enter postsecondary education or training programs, upgraded employment, or the military. **Measure 2.1 of 1:** The percentage of HEP HSE recipients who enter postsecondary education or training pro grams, upgraded employment, or the military. (Desired direction: increase) **Calculation:** This measure is calculated by dividing the number of HSE attainers from the current reporting period who entered postsecondary education or training programs, upgraded employment, or the military by the total number of HSE attainers. The MS Excel Form is formulated to perform the calculation. **Example:**

**Grant Year Total**  **HSE**

**Attainers Entered Postsecondary Education or Training** 

**Programs or Upgraded Employm ent or** 

**Entered the Military GPRA 2.1 (Percent**  **achieving placem ent)**  Year 1 65 60 92% Year 2 70 50 71% Inthis example, for grant Year 1, data collected in the first quarter of grant Year 2 indicates that, of the 65 HSE attainers, 60 entered postsecondary education or upgraded their employment or entered the military (this is an unduplicated count). The numerator is 60, the number of HSE attainers who entered postsecondary education or training programs, upgraded employment, or the military. The denominator is 65, the number of HSE attainers, for a placement of 60/65, or 92 percent. F or grant Year 2, in which there were 70 HSE attainers, the numerator equals 50, for a success rate of 50/70 or 71 percent.

### - 5
- HEP Performance Report Instructions

**Note: The**  **program office**  **believes that**  **“upgraded em**  **ployment” is**  **consistent with**  **the intention**  **of funding,**  **which is**  **to improve**  **the employment**  **prospects of**  **individuals through**  **attainment of**  **the HSE**  **credential**

**. F**  **or some**  **individuals, attaining**  **an HSE**  **credential may**  **be a**  **requirement of**  **continued em**  **ployment; this also is consistent with the intention of funding.** The program office also will calculate an efficiency measures for each project. Grantees do not calculate or report on these measures. Rather, data that grantees report will be used to calculate the measures, which are provided below. **Efficiency Measure:**  Project success efficiency ratios are calculated as the total budget awarded for that reporting period divided by the number of HSE attainers ( as reported on the APR) for that period
. The MS Excel Form is formulated to perform the calculation.

**Public Burden Statem ent:**  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 32 hours per response, including time for reviewing instructi ons, 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 (Public Law 103
- 62
- 418A). 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 20210
-4537 or email **ICDocketMgr@ed.gov** and reference the OMB Control Number 1810
- 0684.

### - 6
- HEP Performance Report Instructions 

### General **Instructions for HEP**  **Performance Report ing**  Each HEP grantee must complete and submit an Annual Performance Report (APR) for project Years 1 through 4. F or project Year 5, each grantee must submit a Final Performance Report, which will report information on Year 5 and cumulative information for all project years. (The MS Excel Form is formulated to perform the calculation.) Grantees will use the same Performance Report form for both the APR and the Final Performance Report. (A sample of this form is found in Appendix 2.) If you are reporting on Year 5, then you should indicate, at the top of the Cover Sheet, that you are submitting a Final Performance Report. The reporting period for an APR is the budget period stated in section 6 of your Grant Award Notification (GAN). The reporting period for the F inal P erformance Report is both the Year 5 budget period and the performance period stated in Section 6 of your (GAN). The performance period covers all five years, cumulative. These instructions guide grantees in filling out the Performance Report form for either an APR or a Final Performance Report. Where applicable, separate instructions are provided depending on whether a grantee is submitting an APR or a Final Performance Report. Grantees should follow these instructions carefully. These instructions also provide guidance on completing the Cover Sheet (a sample of which is found in Appendix 1) and the documentation form (a sample of which is found in Appendix 3). Grantees will submit: 1) the Cover Sheet, 2) the HEP Performance Report, and 3) the HEP GPRA 1 Documentation form as three separate uploads in G5.
If you have questions about how to complete one or more of these three documents, please contact your assigned program officer. **Organization and Date Utilization**  The HEP performance report is divided into a **Cover Sheet** and the following seven sections: **Section A**

**– HEP Project Statistics and Reporting for GPRA**  **(MS Excel F ile** **) Section B** 

**– HEP Project Student Participant Information**  **(MS Excel F ile** **) Section C** 

**– HEP P**  **roject Services Information (MS Excel F** **ile )**  **Section D**

**– HEP Project Goals and Objectives**  **(MS Word F ile** **) Section E** 

**– HEP Project Budget Information**  **(E1: MS Word File**  **; E2: MS Excel F ile** **) Section F** 

**– Additional Information**  **(MS Word File** **) The**  **HEP GPRA 1 Documentation**  **Form (MS Word**  **File )**  All MS Word Forms must be converted to the Portable Document Format (.PDF) for submitting in the G5 system.
**Data Utilization** Together, these sections will be used by the program office to answer the following evaluation questions decided upon by the program office:

### - 7
- HEP Performance Report Instructions

1. To what extent have program goals been accomplished? (Section A; GPRA reporting) 2. What service models had the most positive outcomes? (Sections B and C) 3. What service models had the best efficiency ratios? (Sections C and E) 4. What percentage of project goals was achieved (i.e., met or exceeded)? (Section D) The MS Excel File has tab s labeled Block A through Block F which correspond to Sections A through F in the APR form
. Findings from aggregated grantee reports, as they pertain to the above stated evaluation questions, will be published for public record and for program and grantee use in better understanding effective service models and strategies.

### - 8
- HEP Performance Report Instructions **Instructions for the**  **Cover Sheet Form**  Instructions for items 1 , 3, and 4 are included on the Cover Sheet itself
. Instructions for items 2 and 5 through 1 2 are included below
. **Item 2. Grantee NCES ID Number/Item 2** 

**-- Annual**  **(for Years 1 -** **4) and Final Performance Reports**  **(for Year 5 and Cumulative) :**  Item 2only applies to HEP grantees that are Institutions of Higher Education (IHE). Grantees that are nonprofit organizations should leave Item 2 blank. A grantee that is an IHE should write its IPEDS identification number rather than an NCES ID num ber. This number can be found at the following link : http://nces.ed.gov/globallocator
**Item 5. Grantee Addre**  **ss Instructions for Submitting Address Changes** 

**-- Annual**  **(for Years 1 -** **4) and Final Performance Reports**  **(for Year 5 and Cumulative) :**  If the grantee address that is listed in Block 1 of your GAN has changed, submit the new address information to your program officer immediately
. **Item 6. Project Director**

**-- Annual**  **(for Years 1 -** **4) and Final Performance Reports**  **(for Year 5 and Cumulative) :**  Please enter the name, title, phone number, fax number and email address of your approved Project Director listed in Block 3 of your GAN. Note: Changing the approved Project Director requires prior approval from ED and may only be requested for a grant whose performance period has not ended. If you wish to change your Project Director, notify your program officer immediately. **Item 7. Reporting Period** 

**-- Annual Performance Reports**  **(for Years 1 -** **4) :**  **Due Date:** Your APR must be submitted by November 15th of each project year. The reporting period is aligned with the current budget period. Please enter the start date and end date of your current budget period, which may be found in Block 6 of the GAN. C omplete data on all measures are due with this performance report.

### - 9
- HEP Performance Report Instructions

**-- Final Performance Reports**  **(for Year 5 and Cumulative) :**  **Due Date:**  Final Performance Reports must be submitted by November 15th of the final project year. If you receive a no -cost time extension from ED for the fifth year of this grant, the Final Performance Report is due 90 days after the revised project period end date. There are two reporting periods for the Final Performance Report: The first reporting period is the budget period for Year 5 of your proje ct**. Please enter the start and end dates for the**  **Year 5 budget period from Block 6 of the GAN.**  The second reporting period covers the entire performance period (five years) , which is also found in Block 6 of the GAN. Due to space limitations, you will not enter these dates on the Cover Sheet. However, you will enter data from this reporting period (covering all five years, cumulative) in those sections of the performance report that ask for “Final” project data. Complete data on all performance measures are due with the Final Performance Report.
**Item 8. Budget Expenditures [Also See Section E]**  The budget expenditure information requested in items 8a

– 8 c must be completed by your Business Office. Note: F or the purposes of this report, the term “budget expenditures ” means allowable grant obligations incurred during the periods specified below. ( See EDGAR, 34 CFR 74.2; 75.703; 75.707; and 80.3, as applicable.) For budget expenditures made with Federal grant funds, you must provide an explanation in Section E (Budget Information) if you have not drawn down funds from the G5 System to pay for these budget expenditures.

**-- Annual Performance Reports**  **(For Years 1 -** **4) :** 

 Report your actual budget expenditures for the entire previous budget period in item 8a. If you are reporting on the first budget period of the project, leave item 8a blank. Please separate expenditures into Federal grant funds and non
-Federal funds (match/cost
- share) expended for the project during the entire previous budget perio d.

 Report your actual budget expenditures for the current reporting period in item 8b
. S ome expenditures that were encumbered during the current reporting period may have cleared after the close of the reporting period. Those expenditures should be included in 8b as well. Please separate expenditures into Federal grant funds and non-Federal funds (match/cost
- share) expended for the project during the current reporting period.

**-- Final Performance Reports**  **(for Year 5 and Cumulative) :** 

 Report your actual budget expenditures for the entire previous budget period in item 8a. P lease separate expenditures into Federal grant funds and non
-Federal funds (match/cost
- share) expended for the project during the entire previous budget period.

### - 10
- HEP Performance Report Instructions

 Report your actual budget expenditures for the final budget period (Year 5) in item 8b
. P lease separate expenditures into Federal grant funds and non
-Federal funds (match/cost
- share) expended for the project during the final budget period.

 Report your actual budget expenditures for the entire project period (i.e., the performance period) in item 8 c . P lease separate expenditures into Federal grant funds and non-Federal funds (match/cost
share) expended for the project during the entire project period. Your project period (performance period) start and end dates are found in Block 6 of the GAN.
**Item 9. Indirect Costs**  **The indirect cost information requested in Items 9a**

**– 9d must be completed by your Business**  **Office.**

**-- Annual**  **(for Years 1 -** **4) and Fin**  **al Performance Reports (for Year 5 and Cumulative)**  **:**

 Item 9 a -- Please check “yes” or “no” in item 9a to indicate whether or not you are claiming indirect costs under this grant.  Item 9b
-- If you checked “yes” in item 9a, please indicate in item 9b whether or not your organization has an Indirect Cost Rate Agreement that was approved by the Federal government.  Item 9 c -- If you checked “yes” in item 9b, please indicate in item 9 c the beginning and ending dates covered by the Indirect Cost Rate Agreement. In addition, please indicate whether ED or another Federal agency (Other) issued the approved agreement. If you check “Other,” please specify the name of the Federal agency that issued the approved agreement. For Final Performance Reports only , check the appropriate box to indicate the type of indirect co st rate that you have

– Provisional, Final, or Other. If you check “Other,” please specify the type of indirect cost rate.  Item 9 d

– For grants under Restricted Rate Programs (EDGAR, 34 CFR 75.563), please indicate whether you are using a restricted indirect cost rate that is included on your approved Indirect Cost Rate Agreement or whether you are using a restricted indirect cost rate that complies with 34 CFR 76.564(c)(2). Note: S tate or Local government agencies may not use the provision for a restricted indirect cost rate specified in EDGAR, 34 CFR 76.564(c)(2). Check only one response. Enter “N/A” if this item is not a

pplicable.
**Item 10. Annual Institutional Review Board (IRB) Certification** 

**-- Annual**  **(for Years 1**

**– 4)**  **and Final Performance Reports**  **( for**  **Year 5 and Cumulative) :**  Annual certification is required if Attachment HS1, Continuing IRB Reviews, was attached to the GAN. If this is the case, grantees must attach the IRB certification to the performance report
. Check “yes” if annual IRB certification is required by Attachment HS1 and attached to the performance report . Check “no” if annual IRB certification is required by Attachment HS1 but is not attached to the performance report . Check “N/A” if annual IRB certification does not apply to your grant.

### - 11
- HEP Performance Report Instructions

**Item 11. Performance Measures Status** 

**-- Annual**  **(for Years 1**

**– 4)**  **and Final Performance Reports (for Year 5 and Cumulative)**  **:** You must check “yes” in item 11a. Complete data on performance measures for the current reporting period must be submitted with your APR, and complete data on performance measures for your final budget period and the entire performance period must be submitted with your Final Performance Report. Leave item 11b blank. **Item 1**  **2 .**  **Certification**

**-- Annual (for Years 1** 

**– 4) and Final Performance Reports (for Year 5 and Cumulative** **) :**  The authorized representative is the person who signed the grant application or has been officially designated to sign the performance report. The signature of the grantee’s authorized representative is not required. However, by submitting the performance report through G5, each grantee is certifying that the authorized representative has approved the report. If the person who serves as the authorized representative for your grant has changed, submit the name and contact information for this new authorized representative to your program officer immediately
. Note : Grantees are only required to complete the Cover Sheet form up to the signature lines.
If the grantee has any known internal control weaknesses concerning data quality (as disclosed through audits or other reviews), this information must be disclose d under Section F (Additional Information), as well as the remedies taken to ensure the accuracy, reliability, and completeness of the data.

### - 12
- HEP Performance Report Instructions 

### Instructio **ns for the Performance Report Fo**  **rm Instructions for Sections A, B,**  **and C** 

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

 If the data prompt to be reported is not applicable to your project, then enter “N/A” in the cell; do not leave the cell blank. **Instructions for Sections A and B** Sections A and B contain columns for Years 1 through 5 of the project. Fill in the column that corresponds to the project year that is being reported. In Year 1 , this would be column Y1. In Year 2 , this would be Y2, etc. Fill in the Y5 and Final columns with the Final Performance Report. F ill in the “Final” column with the sum of the numbers entered for each of the five project years. (The MS Excel Form is formulated to perform this calculation.) **Example:** In **year one** of a project funded to serve 100 total students per year, data entry would look like: **Example Y1**  **Y2 Y3**  **Y4 Y5**  **Final** a. Number funded to be served 100 In **year two** , the APR should take the following format: **Example Y1**  **Y2 Y3**  **Y4 Y5**  **Final** a. Number funded to be served 100 100 The **Final Performance R eport**  **(Year 5 )**  should take the following format: **Example Y1**  **Y2 Y3**  **Y4 Y5**  **Final** a. Number funded to be served 100 100 100 100 100 500

### - 13
- HEP Performance Report Instructions

**Instructions for Section A**

**– HEP Project Statistics and**  **Reporting for GPRA (Completed in MS**  **Excel file**  **. )**  Section A collects data on the number of students served and the number of students achieving program and project objectives. Items from section A are used by the program office to calculate GPRA and efficiency measures. **Item A1** Item A 1 requests information on the number of students served during the reporting period. Item A1a requests data on the number of students that the project was funded to serve. Item A1b requests data on the number of students actually served in HSE instruction, which is further disaggregated in items A1b 1 and 2 into the number of students served in HSE instruction who were new participants and returning participants, respectively. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **Num ber**  **funded to**  **be serv** **ed**: Number of participants officially funded by the HEP grant to be enrolled in HSE instruction in your HEP project in this reporting period.

 **Num ber served in HEP**  **HSE instruction**  : The number of HEP HSE eligible students who completed intake and were enrolled and attending HEP HSE instruction for at least 12 hours of instructional services in this reporting period or who were enrolled for the sole purpose of taking the HSE assessment in the reporting period
.
 **New participant:**  The number of HEP HSE eligible students who completed intake and were enrolled and attending HEP HSE instruction for at least 12 hours of instructional services in this reporting period who were **new** to the project (i.e., not enrolled in HEP HSE instruction in the immediately previous budget period). **Note:** 1.) Students who participated in HEP services during budget periods other than the immediately previous budget period are considered “New Participants.” 2. ) This count would also include any students who participated in HEP services in the immediately previous budget period but were not counted as persisters at the end of that budget period because they did not enroll in the HEP services during the current reporting period until after the APR was submitted on November 15th.

 **Returning participant:** The number of HEP HSE eligible students who met the following criteria: o completed intake in the budget period immediately previous to the one being reported, o did not attain a HSE in the budget period immediately previous to the one being reported, but either  were enrolled and attending HEP HSE instruction for at least 12 hours of

instructional services in the current reporting period, or  were enrolled for the sole purpose of taking the HSE assessment in the current reporting period.

### - 14
- HEP Performance Report Instructions

Note: 1) This count should equal the number of persisters (including persisters from the 5 th year of the grant) from the budget period **immediately previous**  **to the**  **one being**  **reported.** In other words, this count includes students who participated in project services in the current reporting period but did not complete intake in this reporting period. 2) Students from the immediately previous budget period who returned to the project during the current reporting period **after the**  **November 15**  **th due**  **da te**  **for the**  **AP R**  must be reported as “New Participants” in the current reporting period. 3) Similarly, students who return to HEP in the current reporting period from any budget period other than the immediately previous budget period are to be reported as “New Participants” in the current reporting period. **Data quality check (The**  **MS Excel Form is formulated to perform the calculation.)**  The number of students reported in items A1b1 and A1b2 should sum exactly to the number of students reported in item A1b
.  The number of returning students (item A1b2) should equal the number of persisters reported in Item A2c in the previous year’s APR
.

**Note: Item**  **A1 b**  **does not**  **address the**  **total number**  **of participants**  **recruited to**  **be served.**  **Each grantee**  **may have**  **served fewer**  **students than**  **it recruit**  **ed .**  **G rantees**  **are required**  **to report**  **the num**  **ber they**  **actually serv ed (not**  **the number they recruited).**  **Reporting Block, Item A1** (For illustration purposes only; do not report data here) A1. Number of students served during reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number funded to be served 60 60 60 60 60 300 b. Number served in HEP HSE instruction (note: A1b1 + A1b2 should sum to equal A1b) 48 48 60 60 60 276 1. Number served who were **new participants** (first year in HEP) (subset of A1b) 48 45 55 57 56 261 2. Number served whowere **returning participants**  (subset of A1b) 0 3 5 3 4 15 **Item A2** Item A2 collects data on the status of student participants at the end of the current reporting period. Item A2a requests data on the total number of students who attained their HSE during the current reporting period (GPRA 1) while item A2b requests data on the total number of students who withdrew from the project during the current reporting period
. Item A2c requests data on the number of persisters who will be returning for services in the subsequent year. Note that students may be classified into one status group only (i.e., provide an unduplicated count of students).
All HEP projects are also required to submit to OME, as a supplement to their performance report, a list of their students who have obtained a HSE during the one -year reporting period. This documentation supports the information reported in item A2a, which is the basis on which OME will calculate performance under GPRA 1. Instructions for completing this supplementary documentation using the HEP GPRA 1 Documentation form begin on page 32
.

### - 15
- HEP Performance Report Instructions

**Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **HSE attainers:**  The number of HEP HSE eligible students who received a HSE certificate by the end of the reporting period. T o best capture this data, the grantee should maintain a database of the students enrolled in the project, identifying those students who attain a HSE as well as the date of HSE attainment. This procedure should apply to all counts for which **ac tual**  (as opposed to projected) attainment or placement data is necessary.

 **Withdrawals:** The number of HEP HSE eligible students who: o completed intake and were enrolled and attending HEP HSE instruction for at least 12 hours of instructional services in t he current reporting period, o left the HEP project with or without completing coursework, but without attaining a HSE , and o did not return for instruction in the subsequent budget period prior to the APR due date of November 15
. This count should include students who took the HSE test battery without passing the test battery. Students who do not complete coursework, but do attain a HSE , should be counted as “HSE attainers.” If a student who is in “withdrawn” status for the current reporting period returns to project services after the APR is submitted on November 15 , he/she should complete the intake process again and be counted as a “new” student in that subsequent budget period.

 **Persisters:** The number of HEP HSE eligible students who: o completed intake and were enrolled and attending HEP HSE instruction for at least 12 hours of instructional services in the current reporting period and did not attain a HSE , but either  re -enrolled for continuing instructional services in support of a HSE in the **sub sequent**  budget period prior to the Nov. 15 th APR submission date, or  re -enrolled for the sole purpose of taking the HSE assessment in the subsequent budget period prior to the Nov. 15 th APR submission due date.  **Note:** Persisters can be counted in all years of the 5
-year grant cycle (i.e., Y1
-Y5). Those students who are counted as persisters in the 5 th year’s performance report will be counted as **“returning students”**  **in the Year 1 APR of the next grant.**  Since the students are persisters from the previ ous grant’s Year 5, you will not need to re
-establish eligibility for those students. (See question H3 in the HEP/CAMP Eligibility Guidance.)

 **Target number of HSE**  **attainers:** The target for total number of HSE attainers served over the entire project period, which was established by each project in its approved application. **Data quality check (The**  **MS Excel Form is formulated to perform the calculation.)**   The sum of items A2a
-c should equal the count reported in item A1b (no. served).  The num

ber of persisters reported here would be equal to the returning participants in the subsequent budget period’s APR.

### - 16
- HEP Performance Report Instructions

**Reporting Block, Item A2** (For illustration purposes only; do not report data here) A2. Status at the end of the reporting period**.** ( N ote: A2a

- c should sum to equal the number reported in A1b(no. served)). **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers **(Obj. 1**  **National Target:**  **69%) (GPRA 1)** b. Number of withdrawals c. Number of

p ersisters (came back to continue in the subsequent budget period; persisters were enrolled in instructional services in the current reporting period but did not yet com

plete their first academic year of college and have returned by

Novem ber 15 o f the subsequent budget period to continue instructional services). **Item A3 (GPRA 2)** Item A3 collects data on the post-HSE placement of HSE attainers during this reporting period
. The counts reported in items for A3a are subsets of the total number of HSE attainers who received follow
-up (reported in Item A4). This count is a subset or equal to the count reported in A2a (no. of HSE attainers). As a subset, the count reported in item A3a should be equal to or less than the count reported in Item A4 a (no. of HSE attainers you were able to track for follow
-up data) , which should be equal to or less than the count reported in Item A2a. (The MS Excel Form is formulated to perform this calculation.) The counts reported in Items A3a1
- 3 are unduplicated subsets of Item A3a. That is, each HSE attainer can only be classified into one placement group, **even if**  **they achieved**  **multiple placements** 
. Grantees should determine in which placement group to place attainers who achieve multiple placements
. 4 Completion of Item A3 requires follow
-up with HSE attainers; data regarding follow
-up is described in Item A4. If grantees used sampling to follow up with HSE attainers, grantees must report unweighted values in Items A3 and A4 and describe the sampling procedures utilized in Section F. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **Placement of**  **HSE attainers:**  Of those students who attained a HSE in the current reporting period, report the number who entered postsecondary education or training programs, upgraded employment, or the military. In situations where students attained multiple placements, count each student **only once**  for the total in question A3a to report an unduplicated count. Placement status should be captured any time after the HSE is attained but before the performance report is due for that same reporting period, and should be based on **actual placement** and not on anticipated placement.

4 Grantees may report additional information, such as the num ber of grantees who achieved multiple placements , in Section F of the APR.

### - 17
- HEP Performance Report Instructions

 **Postsecondary Education**  **or Training**  **Programs:** For a student to be considered as placed in a postsecondary education or training program, they must enter **at least one** of the following programs: 

### 1) A postsecondary education program at an IHE designed to ultimately attain an A.A., B.A., B.S. or other degree. **OR** 

### 2) An 

### industry
-recognized postsecondary vocational or career and technical education program, designed to attain a 

### credential, certificate, or degree that would assist one in obtaining upgraded employ ment.

 **Upgraded employment:**  For a student to have attained upgraded employment, **at least**  **one** of the following criteria must be met: 1) Move to a job that provides more hours (and, as a result, increased pay) compared to the job immediately prior to and/or during instructional services. This may be a job change with the same employer or a job with a new employer. **OR** 2) Move to a job with increased benefits, such as healthcare, worker's compensation, unemployment insurance, social security, and vacation and sick leave, compared to job immediately prior to and/or during instructional services. This may be a job change with the same employer or a job with a new employer. **OR** 3) Position upgrade with same employer, such as a move to a supervisory position, compared to job at that employer immediately prior to and/or during instructional services. **OR** 4) Move to a new job with predefined career ladder, regardless of wage change (e.g. management trainee, formal apprenticeship), compared to career ladder options at job immediately prior to and/or during instructional services. This may be a job change with the same employer or a job with a new employer. **OR** 5) Move to a job with higher hourly wages , or a higher salary, com pared to the hourly wages , or salary, at the job immediately prior to and/or during instructional services. This may be a job change with the same employer or a job with a new employer. This category also accounts for students who obtain a job where they previously had been unemployed.

 **Target number**  **of HSE**  **attainers who**  **entered post**  **- secondary**  **education or**  **training programs** **:** The target for total number of HSE attainers who entered post- secondary education or training programs, upgraded employment, or the military, for the entire program period, which was established by each program in its application. **Data quality check (**  **The MS**  **Excel F**  **orm is formulated to p** **erform this calculation. )**   Items A3a 1
- 3 should sum to the count reported in Item A3a.  The count reported in Item A3a should be equal to or less than the count reported in Item A4.  The count reported in Item A3a cannot be greater than the count reported in Item A2a.

### - 18
- HEP Performance Report Instructions

**Reporting Block, Item A3** (For illustration purposes only; do not report data here) A3. Placement of HSE **attainers** ( from question A2a above) from the current reporting period by November 15
. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Unduplicated num

ber of HSE attainers who entered postsecondary education or training programs, upgraded em ployment, or the military (count each participant only once for this row for an unduplicated count). (This amount should not be greater than the amount in A2a above, and should equal the sum of A3a 1
- 3) **(Obj. 2**  **National Target: 80%) (GPRA 2)**  1. Number of HSE attainers who entered postsecondary education or training programs 2. Number of HSE attainers who obtained upgraded em ployment 3. Number of HSE attainers who entered the military

**Item A4** Item A4 collects data on the number of HSE attainers for whom follow
-up data was collected. The count reported in item A4 cannot be greater than the count reported in Item A2a. The count reported in Item A4 a is the number of HSE attainers from the current report period with whom follow
-up contact was successfully made. F ollow
- up must be attempted with every HSE attainer. If grantees used sampling to follow up with HSE attainers, grantees must report unweighted values in Items A3 and A4 and describe the sampling proced

ures utilized in Section F. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN. **Data quality check (The**  **MS Excel Form is formulated to perform th**  **is calculation.)**   The count reported in Item A4a should be less than or equal to the count reported in Item A2a. The MS Excel Form is formulated to comply with this rule and will display a feedback message. “Pls Check” will display in case of an error. “Good Job” will display if the calculation is correct. **Repo rting Block, Item A4**  (For illustration purposes only; do not report data here) A4. Follow
-up on HSE attainers from the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers you were able to track for follow
-up data

**Item A5** Item A5 collects data on the amount of time necessary for HSE attainment by successful project participants who attained a HSE in the current reporting period. Items A5a
-c request unduplicated counts of the number of HSE attainers who attained their HSE within one year, between one and two years, and

### - 19
- HEP Performance Report Instructions

after more than two years in the project, respectively. Each HSE attainer will be classified into one group. Note that follow
-up with HSE attainers should not be necessary to report these counts. Rather, pro ject documentation should contain the relevant records necessary to complete these items. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN. **Data quality check (The**  **MS Excel Form is formulated to perform th** **is calculation.)**  The counts reported in Items A5a
-c should sum to the count reported in Item A2a. The MS Excel Form is formulated to comply with this rule and will display a feedback message. “Pls Check” will display in case of an error. “Good Job” will display if the calculation is correct. **Reporting Block, Item A5** (For illustration purposes only; do not report data here) A5. Time to completion for HSE attainers from question A2a above. ( N ote: A5a

- c should sum to equal the number reported in A2a.) **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers who got their HSE within one year in your project b. Number of HSE attainers who got their HSE after more than one, but within two years in your project c. Number of HSE attainers who got their HSE after more than two years in your project
**Performance Calculation Table** For your convenience, t

his table calculates project performance on GPRA Measures 1 and 2, as well as the Efficiency Ratio. See definitions above. To properly calculate the performance and efficiency measure s , in Item “Annual Award Amount” enter the amount of the annual grant award for the corresponding year, not including carryover. Please note, these are preliminary performance and efficiency results based on data reported; should data be revised during the course of the APR review process , the results will be affected.

**Instructions for Section B**

**– HEP Project Student Participant Information**  **Item B1** Item B 1 collects data on the nature and amount of instruction and services received by students enrolled in project services in the current reporting period. Items B1a
-c request data on:  Total instructional hours received by students,  Total number of students receiving varied instructional and support services **Definitions**

### - 20
- HEP Performance Report Instructions

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **HSE instruction**  **hours:** Direct “treatment” services leading toward attainment of a HSE
. C alculate the number of hours of instruction each student received during the current reporting period and add those numbers together to obtain the total hours of HSE instruction received by all students (Item B1a) and all HSE attainers (Item B1b).

 **Instructional support**  **services:** S ervices **provided by**  **HEP staff**  in support of attainment of a HSE and/or placement in postsecondary education, upgraded employment or a career in the military. These include ancillary services provided in support of direct services, such that the full benefit of direct services might be realized. Examples include coaching, tutoring, etc. This item requires a count of the **total number**  **of students**  who received instructional support services during the current reporting period, not the total number of instructional support services received.  **Other support**  **services:** Other project or related non-instructional services, including essential supportive services, **provided by**  **HEP staff**  in support of attainment of a HSE and/or placement in post- secondary education, upgraded employment or a career in the military. This item requires a count of the **total num**  **ber of**  **students** who received other support services, not the total number of other support services received.

 **Tutoring:** Additional instructional services provided by HEP in support of a specific curriculum, course or course of study.

 **Mentoring or**  **coaching:** Advisory services provided by HEP in support of general academic career and post
-HSE placement.

 **Counseling or**  **guidance services** **:** S ervices provided by HEP in support of work
-life balance and other psycho
- social aspects of HSE attainment and post-HSE placement and persistence in higher education, military, or a vocational/training program.

 **Stipend:** An allocation of project financial resources made directly to students to offset living or educational expenses. **Data quality checks (The**  **MS Excel Form is formulated to perform the calculation.)**   The count reported in Item B1b should be equal to or less than the count reported in Item B1a. (The MS Excel Form is formulated to p erform this calculation. If the number in B1b is greater than the amount in B1a, an error message will display.)  The counts reported in Item B1c 1
- 6 and in B1c 7
- 12 may be duplicated, as some students may receive multiple Instructional or Other Support Services. However, the value of any individual count cannot exceed the count reported in Item A1b (total number served). (The MS Excel Form is formulated to perform this calculation. If the number in B1b is greater than the amount in B1a, an error message will display.)  **R eporting Block, Item B1**  (For illustration purposes only; do not report data here) B1. Instruction and services received by HEP HSE enrolled students during the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final** 

### - 21
- HEP Performance Report Instructions

B1. Instruction and services received by HEP HSE enrolled students during the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Total HSE instruction **hours** received by all HEP HSE enrolled students. 5 b. Total HSE instruction **hours** received by HSE attainers.
c. **Total number of students** receiving the following types of services: 6 **Instructional Support Services** Please indicate **the number of students** receiving instructional support services. 1. Tutoring 2. Mentoring or coaching 3. College transition services 4. Work training services 5. Job placement services 6. Counseling or guidance services **Other Support Services** Please indicate **the number of students** receiving other support services. 7. Transportation services/ financial support for transportation 8. Child care 9. Financial support a. Tuition b. Books and materials c. Room

and board d. Stipends e. Other financial support:__________________________ 10. Other support services:

______________________________ 11. Other:

______________________________ **Item B2** Item B 2 collects data on the characteristics of students who were enrolled in project services during the current reporting period. Items B2a
- g request data on:  Sex  Age  Number of students who are English Learners

5 The program office will take aggregated information and determine mean and median values for instructional hours within and across program mo del s. These data will be used to determine the most positive outcomes of program models. Proficiency level will be established, if it is measured, through item C4a. 6 Item B 1c re quires grantees to report whether or not **a student**  has received a service in any quantity. The total hours received or total number of visits received, etc. should not be reported here
.

### - 22
- HEP Performance Report Instructions

**Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **English Language**  **Learner (ELL):**  The number of students enrolled and served with at least 12 hours of instructional services during this current reporting period who had need of English as a Second Language as determined by a language assessment test administered by the project or the project’s institution. **Data quality check s**   The sum of counts reported in Items B2a and b must be equal to the total number of students served (Item A1b) for the current reporting period. (In the MS Excel Form, once the number of students who are mal e has been entered, the remaining number of students who are female will be calculated on its own in the next row.) Similarly, the sum of counts reported in Items B2 c and d cannot exceed the total number of students served (Item A1b) for the current reporting period. (The MS Excel Form has been formulated to perform this calculation. Once the number of students who are 25 years old or younger has been entered, the number of students who are over 25 years old will be calculated automatically in the next row .)
**Reporting Block, Item B2** (For illustration purposes only; do not report data here) B2. Characteristics of the HEP HSE enrolled students during the reporting period. (note: [B2a + B2b should equal the number reported in A1b]and [B2c + B2d should equal the number reported in A1b]

). **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of students who are male b. Number of students who are female c. Number of students who are 25 years old or younger d. Number of students who are over 25 years old e. Does your project or institution screen students for English language proficiency? If “No”, skip to question C1. Mark Y for yes, or N for no. Y N Y N Y N Y N Y N 1. Number of students who enrolled during the reporting period and had English as a second language needs as determined by a language assessment test (i.e., EL students).

### - 23
- HEP Performance Report Instructions

**Instructions for Section C**

**– HEP**  **Project Services Information (Completed in MS**  **Excel file**  **. )**  **Item C1** Item C 1 collects data on the project model used during the reporting period . Items C1 a- f request data on the commuter or residential status of the project, the enrollment structure, the academic term, and the language in which project services are provided. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **Open (rolling)**  **enrollment:** Projects that have open enrollment allow continuous entry into instructional services (i.e., there is no cut date for student enrollment in order to enter a course).

 **Structured enrollment:** Projects that have structured enrollment allow enrollment for a defined period of time prior to the start of instructional services. After that defined period of time has expired, students must wait until the next semester or series of instructional services begins to participate in services. For example, in sites with structured enrollment, students may be allowed to enroll during the first few weeks of classes and for two or three weeks prior to the next semester of classes. In addition, courses begin on a specific date and end on a specific date. S ites with open enrollment allow students to enroll and join classes at any time. **Reporting Block, Item C1** (For illustration purposes only; do not check boxes here) C1. Project Model Characteristics a. Report the number of commuter students. (A commuter student is a student who does not live in IHE
- funded housing.) ________ b. Report the number of residential students
. (A residential student is a student who lives in IHE
-funded housing.) ________ c. Does this project provide open enrollment or structured enrollment? Open Structured d. In what languages are project services provided? (Check all that apply.) English Spanish Other e. Is this project in a four
-year or two -year institution? Four
-Year Institution Two
-Year Institution f. Is the project in an institution that uses a semester, quarter, or trimester academic calendar? Semester Quarter Trimester

### - 24
- HEP Performance Report Instructions

**Item C2** Item C2 collects data on the personnel associated with project services during the reporting period . Items C2 a
-d request data on the number of teaching staff and instructional support staff, both funded and not funded by the HEP grant. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **FTE (full** 

**- time**  **equivalen t)**  **for teaching**  **staff and**  **instructional support**  **staff:** FTE is a measure equal to one staff person working a full
-time work schedule for one year. o To calculate the total FTE: For each teaching staff person and instructional support person, divide the total number of hours that employee works on your HEP project each year by the number of hours your organization considers full time for one year. When all calculations on individ ual teachers and support persons are complete, sum across all teaching staff persons for the total teaching staff FTE and sum across all instructional support staff persons for the total instructional support FTE. o For example , if your organization considers 1,920 hours annually to be full time, and teaching staff member Jane Smith works 1,440 hours per year, her FTE is .75 (1,440 divided by 1,920). Sum Jane Smith’s FTE with the FTEs from all other teaching staff to calculate the total FTE for teaching staff
.
 **Num ber**  **of FTE**  **teaching staff:**  Count FTE teaching staff who provide instruction to participants. Grantees should report the total number of **HEP -** **funded,** FTE teaching staff contributing to the project in Item

C2a. Grantees should report the total number of **non -** **HEP -** **fu nded,**  FTE teaching staff contributing to the project in Item C2b.

 **Num ber of**  **FTE instructional**  **support staff:**  Count FTE support staff who provide ancillary, support services. Grantees should report the total number of **HEP -** **funded** , FTE instructional support staff contributing to the project in Item C2c. Grantees should report the total number of **non -** **HEP -** **funded** FTE instructional support staff contributing to the project in Item C2d. **Reporting Block, Item C2** (For illustration purposes only; do not report data here) C2. Project Personnel Characteristics during the Reporting Period a. Number of FTE teaching staff funded by the HEP grant to provide HSE instruction b. Number of FTE teaching staff contributing to the project, not funded by the HEP grant c. Number of

F TE instructional support staff (tutors, coaches, mentors) funded by the HEP grant to provide HSE instruction d. Number of

F TE instructional support staff contributing to the project, not funded by the HEP grant

### - 25
- HEP Performance Report Instructions

**Item C3** Item C 3 collects data on the instructional services offered through the project during the reporting period
. Items C3 a
-c request data on the frequency of instructional services and the average length of services per session and semester. Item C3a contains check
-boxes for the allowable responses. There should be no other written response to these items. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN. **Data quality check**  Item C 3b requires data reported in hours while Item C3c requires data reported in days. Items C3b and C3c allow written responses. **Reporting Block, Item C3** (For illustration purposes only; do not report data here) C3. Project HEP HSE Instructional Services Offered during the Reporting Period a. How f requently are HSE instructional services provided? Check only one option; check the option that best describes the frequency of instructional services. If your program has both part time and full time options, please check the box that best describes the majority of your program’s students. Daily Weekly Monthly b. Average length of

instructional service per individual instructional session, in hours. (Provide the average length of instructional service in which the majority of students participated). hours

c. Average length of instructional service per semester, in days. (Provide the average length of instructional service in which the majority of students participated). days
**Item C4** Item C4 collects data on student screening to determine enrollment during the reporting period . Item C4a requests data on student assessments used to determine enrollment. Not all grantees may use assessments to determine enrollment. Thus, data only should be reported in Items C4 if they are applicable to the project during the reporting period
. If grantees do use assessments to determine enrollment, grantees should **only repor t the scores for students accepted into the project**  during the reporting period in Item C4a 3
-4. (Do not include scores for students who did not screen above proficiency thresholds or who otherwise were not accepted into the project
. ) Further, if there were two separate assessments for Spanish and English speaking students (Items C4a 3
-4), the grantee should report these scores separately. The scores should not be combined. Item C4a contains a check
-box for the allowable response. There should be no other written response to item C4a. Items C4a 1
-4 allow written responses, if applicable. **Definitions**

 **Reporting Period:**  The 12
-month period of time that is equal to the budget period found in Block 6 of the GAN. In the Final Performance Report, the reporting period for purposes of the cumulative

### - 26
- HEP Performance Report Instructions

data reported in the “Final” row or column is the performance period (covering five years, cumulative) that is also found in Block 6 of the GAN.

 **Project proficiency**  **thre shold:**  The minimum scale/standard score proficiency in reading and math at which new participants must perform in order to enroll and participate in instructional services.

 **Scale/Standard scores:**  The expression of student abilities (i.e., scores) in terms of scale/standard score proficiency.

### - 27
- HEP Performance Report Instructions

**Reporting Block, Item C4** (For illustration purposes only; do not report data here) C4. Project Student Assessment Information Related to this Reporting Period a. Does your project screen students prior to enrollment in HEP HSE instructional services to establish whether they are above or below aproficiency threshold? (Check one.) 7 If “No,” skip to Section D. Yes No
1. If your project uses a screening or intake assessment to establish a proficiency threshold, what is your project proficiency threshold for accepting students into HEP HSE instructional services? (Only check “no assessment” if proficiency is determined without the use of a formal assessment). No assessment Scale/Standard Score________

2. What kind of screening or intake assessment is used? (If not a published assessment, please check “Other,” provide the title and the program office with a copy of the assessment used). TABE Steck
-Vaughn Other: 3. What wa s the average screening or intake **MATH** scale/standard score for this reporting period? English speaking students:_____ Spanish speaking students:_____ 4. What wa s the average screening or intake **READING** scale/standard score for this reporting period? English speaking students:_____ Spanish speaking students:_____

7 The program office is asking for intake data **if** the project currently collects these data ; projects that do not collect intake data will not be required to do so.

### - 28
- HEP Performance Report Instructions

**Instructions for Section D**

**– HEP Project Goals and**  **Objectives (Completed in MS**  **Word file**  **. )**  In the approved grant application, grantees established project objectives that stated what the grantee hoped to achieve with the funded project. Generally, one or more performance measures also were established for each project objective. These performance measures serve to demonstrate whether grantees met or are making progress towards meeting each project objective. Grantees must also report on the results to date of their project evaluation as required under EDGAR, 34 CFR 75.590. According to the instructions below, for each project objective included in the approved grant application, grantees must provide quantitative and/or qualitative data for each associated performance measure for this reporting period . You also m ust explain how the data on your performance measure(s) demonstrates whether you have met or are making progress towards meeting each project objective. **Note:** Complete data must be submitted for any project
- specific performance measures relevant to the current reporting period that were included in the approved grant application. **Section 1) Project Objective:** Enter each project objective from the approved grant application. Only one project objective should be entered per table . Project objectives should be numbered sequentially (i.e., 1., 2., 3., etc.) Data on GPRA objectives should not be reported in this section
. (GPRA data only should be entered in section A of the form
. ) **Performance Measure:** For each project objective, enter the associated performance measure(s). There may be multiple performance measures associated with each project objective. Enter only one performance measure per row. Each performance measure that is associated with a particular project objective should be labeled using an alpha indicator. **Examp le**  : The first performance measure associated with project objective “1” should be labeled “1a,” the second performance measure for project objective “1” should be labeled “1b,” etc. F or each performance measure use the row that corresponds to your project funding year (Y 1 , Y2, etc). **Quantitative Data: Target and Actual Performance Data**  In the “Target” column(s), grantees must provide the target for this reporting period that was established for each performance measure in the approved grant application
. In the “Actual Performance Data” column(s), grantees must provide actual performance data demonstrating progress towards meeting or exceeding this target. Only quantitative (numeric) data should be entered in the Target and Actual Performance Data boxes. The Target and Actual Performance Data boxes are each divided into three columns: **Raw N** **umber; Ratio; and Percentage (%).**  For performance measures that are stated in terms of a single number (e.g., the number of workshops that will be conducted or the number of students that will be served), the target and actual performance data should be reported as a single number under the **Raw N** **umber column**  (e.g., **10** workshops or **80** students). P lease leave the **Ratio and**  **Percentage (%)**  **columns** blank. F or performance measures that

### - 29
- HEP Performance Report Instructions

are stated in terms of a percentage (e.g., percentage of students who attain proficiency), complete both the **R atio column**  and the **Percentage (%) column** . Please leave the **Raw Number column** blank. Inthe **Ratio column**  (e.g., **80/100**), the numerator represents the numerical target (e.g., the number of students who are expected to attain proficiency) or actual performance data (e.g., the number of students who attained proficiency), and the denominator represents the number of students funded to be served, or actually served (whichever is greater) under each objective. P lease enter the corresponding percentage (e.g. , **80** %**)** in the **Percentage (%)**  **column**
. Note: the denominator may vary across objectives, depending upon the number of students funded to be served (or actually served) for each objective. If the collection of quantitative data is not appropriate for a particular performance measure, please leave the Target and Actual Performance Data boxes blank and provide an explanation and any relevant qualitative data for the performance measure in the section entitled, **Explanation of Progress (Section 2)**
. **Note:** If the grantee used a sample of participants to collect performance data, grantees must report unweighted values in Section D and describe the sampling procedures utilized in Section F. **Special instructions for grants in their first reporting**  **period** : If baseline data for a performance measure were not included in your approved application and targets were not set for the first reporting period, then enter either the number **999** under the **Raw Number**  **column** or the ratio **999/999** under the **Ratio column**  of t he **Target box** 
. The **999** or **999/999** indicates that baseline data are being collected on the measure during the first reporting period and targets have not yet been set. Unless otherwise instructed by the program office, report baseline data collected during the first reporting period under either the **Raw N** **umber column**  or the **Ratio and**  **Percentage (%)**  **columns** of the **Actual Performance Data**  **box,** as appropriate. After baseline data have been collected during the first reporting period, grantees are expected to set targets for the second and any subsequent reporting periods and report actual performance data in their performance reports. Section D also requests that data from multiple project years be entered, according to the project year reported. Data ent

ry should follow the process described above for sections A and B in that data for each project year are entered separately, in the appropriate reporting year. **Special instructions for grantees submitting a Final Performance Report:** Grantees must provide Year 5 performance data for the one
-year reporting period and, in the “Final” row, grantees must provide **AVERAGE** success rates across each of the project years. **Example:** In Year 1 of a project funded to serve 100 students per year with a target of awarding financial aid to 100 percent of students , only 80% of the students actually receive financial aid
. Then your data entry would look like:

### - 30
- HEP Performance Report Instructions

1a Performance Measure **Quantitative Data Aw**  **ard financial aid to 100 percent of**  **students. Target**  **Actual Performance Data Raw**  **Number Ratio**  **% Raw**  **Number Ratio**  **% /**  **/** Y1 100/100 100% 80/100 80% Y2 Y3 Y4 Y5 Final In year two, the APR should take the following form: 1a Performance Measure **Quantitative Data Aw**  **ard financial aid to 100 percent of students.**  **Target Actual Performance Data**  **Raw Number**  **Ratio %**  **Raw Number**  **Ratio %**  **/ /**  Y1 100/100 100% 80/100 80% Y2 100/100 100% 85/100 85% Y3 Y4 Y5 Final The Final Performance Report should take the following form: 1a Performance Measure **Quantitative Data Aw**  **ard financial aid to 100 percent of students.**  **Target Actual Performance Data**  **Raw Number**  **Ratio %**  **Raw Number**  **Ratio %**  **/ /**  Y1 100/100 100% 80/100 80% Y2 100/100 100% 85/100 85% Y3 100/100 100% 90/100 90% Y4 100/100 100% 95/100 95% Y5 100/100 100% 100/100 100% Final 500/500 100% 450/500 90% **Section 2) Explanation of Progress (Includes Qualitative Data and Data Collection Information)**  **(maximum 2500 words):** 1. For each project objective and associated performance measures, grantees must indicate what data (quantitative and/or qualitative) were collected and when they were collected, the evaluation methods that were used, and how the data were analyzed. Grantees must clearly identify and explain any deviations from their approved evaluation plan, including changes in design or methodology, or the individual or organization conducting the evaluation. 2. Based on the data, grantee s must provide a description of preliminary findings or outcomes, including a description of whether grantees are making progress towards meeting each performance measure.

### - 31
- HEP Performance Report Instructions

Further, grantees must indicate how performance measure data show that they have met or are making progress towards meeting the stated project objective. In the “Explanation of Progress” section, grantees should provide a brief description of project activities and accomplishments for the reporting period that are related to each project objective. 3. Grantees must provide explanations for the following circumstances: a) targets were not attained, b) expected progress was not made toward meeting a performance measure or project objective, or c) a planned activity was not conducted as scheduled. Grantees also must provide a description of the steps and schedules for addressing the problem(s) or issue(s). 4. Grantees must indicate how the data and information from the evaluation were used to monitor the progress of the grant, and if needed, to make im provements to the original project plan (e.g., project activities and milestones). Any changes (e.g., improvements) should be consistent with approved project objectives and scope of work. **Note: Short anecdotes are welcome additions to the “Explanation of Progress” section. Also, grantees**  **should use**  **this section**  **to provide**  **information on**  **any positive**  **or negative**  **impacts of**  **this reporting**  **framework. Section**  **3) Final**  **Performance Report**  **ONLY :**  This information covers the entire project report period (five years). Grantees must answer each of the questions below (maximum 2500 words): 1. Utilizing the evaluation results, draw conclusions about the success of the project and/or its outcomes. Describe any unanticipated outcomes or benefits from the project and any barriers that may have been encountered. 2. What would you recommend as advice to other educators who are interested in your project? How did the original project ideas change as a result of conducting the project? 3. If applicable, describe your plans for continuing the proj ect (sustainability; capacity building) and/or disseminating the project results.

### - 32
- HEP Performance Report Instructions

**Instructions for Section E**

**– HEP Project Budget Information** 

**-- Annual**  **Performance Reports (for Years 1**

**– 4)**  **: 1.)**  **Section E**

– Report the following items 1.a.

– 1.d. below. **(Completed in MS Word** **file .**  **)** 1.a. For budget expenditures made with Federal grant funds, you must provide an explanation if funds have not been drawn down from G5 to pay for the budget expenditure amounts reported in items 8a.

– 8b of the Cover Sheet. 1.b. Provide an explanation if you did not expend funds at the expected rate during the reporting period. 1.c. Describe any changes to your budget that affected your ability to achieve your approved project activities and/or project objectives. 1.d. Describe any significant changes to your budget resulting from modification of project activities. **2.)** On the budget table, report in column (a) your previously submitted revised budget amounts for this reporting period, identifying any amount that include s carryover funds from the previous budget period by marking it with an asterisk(*). (Each cell in column (a) should include only one dollar amount that reflects the approved budget amount plus any carryover.) In column (b) , report your project’s actual expenditures for this reporting period. Additionally, briefly explain any difference in the total amounts of these two budget columns. **(Completed in MS Excel**  **file .**  **)**

**-- Final Performance Report (for Year 5 and Cumulative)**  Follow the above instructions to show Year 5 budget information only
. I.e., c olumns (a) and (b) should reflect Year 5 budget information only. Note: Remember to keep budget line items consistent. For example, if you categorized student textbooks in the Stipend line item in your revised budget, payments for student textbooks must be categorized in the Stipend line item in the Actual Expenditures c olumn.

**Instructions for Section F**

**– Additional Information**  **(Completed in MS Word** **file .**  **)**

**-- Annual and Final Performance**  **Reports:**

 If applicable, please provide a list of current partners on your grant and indicate if any partners changed during the reporting period. P lease indicate if you anticipate any change in partners during the next budget period. If any of your partners changed during the reporting period, please describe whether this impacted your ability to achieve your approved project objectives and/or project activities.  Note: Do not submit requests in this report for supplemental funds or any changes that you wish to make in the grant’s activities for the next budget period, or key personnel changes. Requests for these actions must be made separately to the program office for review and approval decisions.  Provide any other appropriate information about the status of your project including any unanticipated outcomes or benefits from your project.

### - 33
- HEP Performance Report Instructions 

### Instructions for the **HEP GPRA 1 Documentation Form**  All HEP projects are also required to submit to OME, as a supplement to their performance report, a list of their students who have obtained a HSE during the reporting period. (If you are submitting a Final Performance Report, this supplement should list the students who have obtained a HSE during the Year 5 budget period.) This documentation supports the information reported in item A2a (GPRA 1 ). The list should include:
o Students' names, o Student ID numbers (where applicable), o HSE verification numbers/codes, certificate numbers/codes, or diploma numbers/codes, and o Date of HSE attainment Please use the GPRA documentation form entitled “HEP GPRA 1 Documentation” to complete your student list
. (A sample of this form can be found in Appendix 3.) OME will send you a Word version of this form by email. As ample of a portion of the form is provided immediately below, but use the full form to complete your GPRA 1 documentation list. This list must be: 1.) C ompleted as a Word document, 2.) S canned into PDF format (to capture authorizing signatures), and 3. ) Uploaded into the G5 system as a “Narrative.” Please note that this process is unlike the uploading process for the Performance Report form
. Instead of being scanned into a PDF, the Performance Report form must be converted into a PDF using the Adobe feature and then uploaded into G5 as a “Narrative.”

**Sample: Student Name**  **HSE Certificate**  **Num ber**  **The date**  **of the** 

**last sub** **- test**  **taken and**  **passed that**  **yielded the**  **HSE certificate**  **(MO/DAY/YR) Did**  **the date**  **of**

**the last**  **sub -** **test occur**  **during the**  **current reportin** 

**g period? (Yes/No)**  1. Rosa Flores 999
- 999
- 999 XX/XX/XX Yes 2. 3.Project Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___ PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _ 

### APPENDIX 1 **The Cover Sheet**  **Fo rm** 
**U.S. Department of Education Grant Performance Report Cover Sheet (ED 524B)**  **Check only one box per Program Office instructions.**  **[ ] Annual Performance Report [ ] Final Performance Report**

**General Information** 1 . PR/Award #: ____________________ 2. Grantee NCES ID#: _______________________ (Block 5 of the Grant Award Notification
- 11 characters.) (See instructions. Up to 12 characters.) 3 Project Title: ___________________________________________________________________________ (Enter the same title as on the approved application.) 4. Grantee Name (Block 1 of the Grant Award Notification.):

__________________________________ 5. Grantee Address (See instructions.) 6. Project Director (See instructions.) Name:___________________________ Title: _______________________________ Ph #: ( ) ________
- __________ Ext: ( ) F ax #: ( ) ________
- __________ Email Address: _________________________________ **Reporting Period Information (See instructions.)**  7. Reporting Period: From: ____ _/_____/_______ To: _____/_____/_______ (mm/dd/yyyy) **Budget Expenditures (To be completed by your Business Office. See instructions. Also see Section B.)**  

### 8. Budget Expenditures **Federal Grant Funds Non**  **- Federal Funds**  **(Match/Cost Share)**  a. Previous Budget Period b. Current Budget Period c. Entire Project Period (For Final Performance Reports only)

**Indirect Cost Information (To be completed by your Business Office. See instructions.)**  9. Indirect Costs OMB No. 1894
- 0003Project Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___ PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _ a. Are you claiming indirect costs under this grant? ___Yes ___No b. If yes, do you have an Indirect Cost Rate Agreement approved by the Federal Government? ___Yes ___No c. If yes, provide the following information: Period Covered by the Indirect Cost Rate Agreement: From: ___/ ___/____ To: ___/___/____ (mm/dd/yyyy) Approving Federal a gency: ___ED ___Other (Please specify): __________________________________________ Type of Rate (For Final Performance Reports Only): ___ Provisional ___ Final ___ Other (Please specify):

_________ d. For Restricted Rate Programs (check one)
-- Are you using a restricted indirect cost rate that: ___ Is included in your approved Indirect Cost Rate Agreement? ___ Complies with 34 CFR 76.564(c)(2)? **Human Subjects (Annual Institutional Review Board (IRB) Certification)**  **(See instructions.)** 10. Is the annual certification of Institutional Review Board (IRB) approval attached? ___Yes ___ No ___ N/A **Performance Measures Status and Certification (See instructions.)**  11. Performance Measures Status a. Are complete data on performance measures for the current budget period included in the Project Status Chart? ___Yes ___ No b. If no, when will the data be available and submitted to the Department? _____/_____/______ (mm/dd/yyyy)
12. To the best of my knowledge and belief, all data in this performance report are true and correct and the report fully discloses all known weaknesses concerning the accuracy, reliability, and completeness of the data.



### _____________________________________ __________ Title: _______________________________________ Name of Authorized Representative:



### ________________________________________________ Date: _____/_____/_______ Signature:Project Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 1
- **APPENDIX 2 The Performance Report**  **Form H** **igh School Equivalency Program**  **U.S. Department of Education Annual Performance Report and**  **Final Performance Report Form**  **A. HEP Project Statistics and Reporting for GPRA**  **(Com pleted in MS Excel file** 

**. )**  **Reporting Block, Item A1** A1. Number of students served during the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number funded to be served b. Number served in HEP HSE instruction (note: A1b1 + A1b2 should sum to equal A1b) 1. Number served who were **new participants**  (first year in HEP) (subset of A1b) 2. Number served who were **returning participants**  (subset of A1b) **Reporting Block, Item A2** A2. Status at the end of the reporting period. ( N ote: A2a

- c should sum to equal the number reported in A1b(no. served)). **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers **(Obj. 1**  **National Target:**  **69%) (GPRA 1)**  *Supporting documentation required. See instructions for Item A2. b. Number of withdrawals c. Number of persisters (c ame back to continue in the subsequent budget period; persisters were enrolled in instructional services in the current reporting period but did not yet achieve a HSE and have returned by

November 15 of the subsequent budget period to continue instructional s ervices) **Reporting Block, Item A3** A3. Placement of HSE **attainers** ( from question A2a above ) from the current reporting period by November 15 **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Unduplicated number of HSE attainers who entered postsecondary education or training programs, upgraded em ployment, or the military (count each participant only once for this row

f or an unduplicated count). (This amount should not be greater than the amount in A2a above, and should equal the sum of

A3a 1
- 3) **(Obj. 2**  **National Target:**  **80%) (GPRA 2)**  1. Number of HSE attainers whoentered postsecondary education or training programs 2. Number of HSE attainers who obtained upgraded em ployment 3. Number of HSE attainers who entered the militaryProject Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 2
- **Reporting Block, Item A4** A4. Follow
-up on HSE attainers from the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers you were able to track for follow
-up data **Reporting Block, Item A5** A5. Time to completion for HSE attainers from question A2a above. (N

ote: A5a

- c should sum to equal the number reported in A2a.) **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of HSE attainers who got their HSE within one year in your project b. Number of HSE attainers who got their HSE after more than one, but within two years in your project c. Number of HSE attainers who got their HSE after more than two years in your project
B **. HEP Project Student Participant Information**  **(Completed in MS Excel file**  **. )**  **Reporting Block, Item B1** B1. Instruction and services received by HEP HSE enrolled students during the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Total HSE instruction **hours** received by all HEP HSE enrolled students. 8 b. Total HSE instruction **hours** received by HSE attainers.
c. **Total number of students** receiving the following types of services: 9 **Instructional Support Services** Please indicate **the number of students** receiving instructional support services. 1. Tutoring 2. Mentoring or coaching 3. College transition services 4. Work training services 5. Job placement services 6. Counseling or guidance services **Other Support Services** Please indicate **the number of students**  receiving other support services. 7. Transportation services/ financial support for transportation 8. Child care 9. Financial support
8 The program office will take aggregated information and determine mean and median values for instructional hours within and across program mo del s. These data will be used to determine the most positive outcomes of program models. Proficiency level will be established, if it is measured, through item C4a. 9 Item B 1c requires grantees to report whether or not **a student**  has received a service in any quantity. The total hours received or total number of visits received, etc. should not be reported here
.Project Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 3
- B1. Instruction and services received by HEP HSE enrolled students during the reporting period. **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Tuition b. Books and materials c. Room

and board d. Stipends e. Other financial support:__________________________ 10. Other support services:

______________________________ 11. Other: ______________________________ **Reporting Block, Item B2** B2. Characteristics of the HEP HSE enrolled students during the reporting period. (N

ote: [B2a + B2b should equal the number reported in A1b]and [B2c + B2d should equal the number reported in A1b]

). **Y1 Y2**  **Y3 Y4**  **Y5 Final**  a. Number of students who are male b. Number of students who are female c. Number of students who are 25 years old or younger d. Number of students who are over 25 years old e. Does your project or institution screen students for English language proficiency? If “No , ” skip to question C1. Mark Y for yes, or N for no. Y N Y N Y N Y N Y N 1. Number of students who enrolled during the reporting period and had English as a second language needs as determined by a language assessment test.Project Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 4
- **C. HEP Project Services Information**  **(Completed in MS Excel file .**  **) Reporting Block, Item C1**  C1. Project Model Characteristics during the Reporting Period a. Report the number of commuter students. (A commuter student is a student who does not live in IHE
- funded housing.)

_____ b. Report the number of residential students. (A residential student is a student who lives in IHE
-funded housing.)

_____ c. Does this project provide open enrollment or structured enrollment? Open Structured d. In what languages are project services provided? (Check all that apply.) English Spanish Other e. Is this project in a four
-year or two -year institution? Four
-Year Institution Two
-Year Institution f. Is the project in an institution that uses a semester, quarter, or trimester academic calendar? Semester Quarter Trimester **Reporting Block, Item C2** C2. Project Personnel Characteristics during the Reporting Period a. Number of FTE teaching staff funded by the HEP grant to provide HSE instruction

_____ b. Number of FTE teaching staff contributing to the project, not funded by the HEP grant

_____ c. Number of

F TE instructional support staff (tutors, coaches, mentors) funded by the HEP grant to provide HSE instruction

_____ d. Number of

F TE instructional support staff contributing to the project, not funded by the HEP grant

_____ **Reporting Block, Item C3**  C3. Project HEP HSE Instructional Services Offered during the Reporting Period a. How f requently are HSE instructional services provided? Check only one option; check the option that best describes the frequency of instructional services. If your program has both part time and full time options, please check the box that best describes the majority of your program’s students. Daily Weekly Monthly b. Average length of

instructional service per individual instructional session, in hours. (Provide the average length of instructional service that the majority of students participate in). hours

c. Average length of instructional service per semester, in days. (Provide the average length of instructional service that the majority of students participate in). daysProject Name: Sample University Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

PR Number: S141 A_ _ _ _ _ _ Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 5
- **Reporting Block, Item C4** C4. Project Student Assessment Information Related to this Reporting Period a. Does your project screen students prior to enrollment in HEP HSE instructional services to establish whether they are above or below aproficiency threshold? (Check one.) 10 If “No,” skip to Section D. Yes No
1. If your project uses a screening or intake assessment to establish a proficiency threshold, what is your project proficiency threshold for accepting students into HEP HSE instructional services? (Only check “no assessment” if proficiency is determined without the use of a formal assessment). No assessment Scale/Standard Score________

2. What kind of screening or intake assessment is used? (If not a published assessment, please check “Other,” provide the title and the program office with a copy of the assessment used). TABE Ste ck
-Vaughn Other: 3. What wa s the average screening or intake **MATH** scale/standard score for this reporting period? English speaking students: Spanish speaking students: 4. What wa s the average screening or intake **READING** scale/standard score for this reporting period? English speaking students: Spanish speaking students:

10 The program of

fice is asking **if** the project currently collects intake screening data ; projects that do not collect intake data will not be required to do s o.HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 6
- **D. HEP Project Goals and Objectives (Completed in MS**  **Word file**  **. )**  **Project Performance Objectives Information** (Use as many pages as necessary.) **Project Year: (check one:**  **Y1 □**  **Y2 □**  **Y3 □**  **Y4 □**  **Y5 □**  **F □** **) Section 1. Project Objective** 
1.a. Performance Measure **Quantitative Data Target**  **Actual Performance Data Raw**  **Number Ratio**  **% Raw**  **Number Ratio**  **% /**  **/ Y1**  **Y2 Y3**  **Y4 Y5**  **Final**
1.b. Performance Measure **Quantitative Data Target**  **Actual Performance Data Raw**  **Number Ratio**  **% Raw**  **Number Ratio**  **% /**  **/ Y1**  **Y2 Y** **3 Y** **4 Y** **5 Final** HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### - 7
- **Section 2:** Explanation of Progress (Include Qualitative Data, Data Resulting from Experimental or Quasi
-Experimental Design, and Data Collection Information) (maximum 2500 words)

**Section 3: FINAL PERFORMANCE REPORT ONLY (** This information covers the entire project period, or five years
. ) (maximum 2500 words). Grantees must answer each of the questions below : 1. Utilizing the evaluation results, draw conclusions about the success of the project and/or its impact. D escribe any unanticipated outcomes or benefits from the project and any barriers that may have been encountered. 2. What would you recommend as advice to other educators that are interested in your project? How did the original project ideas change as a result of conducting the project? 3. If applicable, describe your plans for continuing the project (sustainability; capacity building) and/or disseminating the project results.HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### 8 **E 1**  **. HEP Project Budget Information (see instructions)**  1. **Section E**

– Report the following items 1.a.

– 1.d. below. **(Completed in MS Word** **file .**  **)** 1.a. For budget expenditures made with Federal grant funds, you must provide an explanation if funds have not been drawn down from G5 to pay for the budget expenditure amount reported in item 8b of the Cover Sheet and column (b) of table below
. 1.b. Provide an explanation if you did not expend funds at the expected rate during the reporting period. 1.c. Describe any changes to your budget that affected your ability to achieve your approved project activities and/or project objectives. 1.d. Describe any significant changes to your budget resulting from modification of project activities.

2. Using the same budget categories as in Form ED 524, report in column (a) your previously submitted revised budget amounts for this reporting period, identifying any amount that include s carryover funds from the previous budget period by marking it with an asterisk (*). (Each cell in column (a) should include only one dollar amount that reflects the approved budget amount plus any carryover.) In column (b) report your project’s actual expenditures for this performance period. **(Completed in MS Excel** **file .**  **)** Budget Categories (a) Revised Budget Amounts (b)

Actual Expenditure Amounts 1. Personnel 2. Fringe Benefits 3. Travel 4. Equipment 5. Supplies 6. Contractual 7. Construction 8. Other 9. Total Direct Costs (lines 1
- 8) 10. Indirect Costs* 11. Training Stipends 12. Total Amounts (lines 9
- 11) Note: Mark your category amounts in column (a) with an asterisk if the amount includes any carryover from the prior budget period.HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### 9 In the space below: 1) Report the amount of carryover that is included in the T otal Amounts cell of the Revised Budget column (cell 12 (a))
. 2) If the Total Amounts in columns (a) and (b) are different, explain this difference. Note: Remember to keep budget line items consistent. For example, if you categorized student textbooks in the Stipend line item in your revised budget, payments for student textbooks must be categorized in the Stipend line item in the Actual Expenditures c olumn.HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### 10 **F. Additional Information (see instructions)**  Note: Do not include requests for budget revisions, supplemental funding or changes to your application’s activities in this performance report. S ee Section F of the APR Instructions for details on the type of information you may provide below.

Additional Information:HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### 1 **APPENDIX 3**  **The HEP GPRA 1 Documentation Form Directions: Please complete the table below by providing the following information**  **. For**  **Final Performance**  **Reports, the**  **table should**  **reflect the**  **students who**  **attained a**  **h igh**  **school equivalency certification during the Year 5 reporting period.** 

 **Student Name.** Provide the first name, middle initial, and last name of each student who attained a high school equivalency certification during the current reporting period.  **HSE Certificate Number.**  Provide the unique number affixed to the HSE attainer’s certificate.  **The date**  **of the**  **last sub**  **- test**  **taken.** Provide the exact date that the HSE attainer took the last sub
-test in order to pass the HSE
. Provide this information in the form of Month/Day/Year (e.g. 3/29/2011).  **Did the date of the last sub**  **- test occur during the current reporting period?**  Provide a “Yes” or “No” answer to this question. All HSE attainers that you count in this report (all students that are listed on this page) should have taken the last sub
-test during the current reporting period. **Student Name HSE**  **Certificate Num**  **ber The**  **date of**  **the**

**last sub** **- test**  **taken and**  **passed that**  **yielded the**  **HSE certificate**  **(MO/DAY/YR) Did**  **the date**  **of**

**the last**  **sub -** **test occur**  **during the**  **current reporting**  **period? (Yes/No)** 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22.HEP Performance Report Grant Year: Y1___ Y2___ Y3___ Y4___ Y5___

Project Name: Sample University Reporting Period: _ _/_ _/20_ _

- _ _/_ _/20_ _ PR Number: S141 A_ _ _ _ _ _ Example of Reporting Period: 07/01/20_ _
– 06/30/20_ _



### 2 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. **Directions: Provide the appropriate signatures below so that the HEP director and HEP authorized representative attest to the accuracy of the**  **information provided above. Please read the statement below and provide the required signatures.**  I have verified and attest to the fact that all students who are listed above were enrolled in the

______________________________ HEP project and attained their HSE during the current reporting period.

________________________________________________________ _________________ (Signature of HEP Director) (Signature Date)

_________________________________________________________ _________________ (Signature of HEP Authorized Representative) (Signature Date) This list must be : 1.) Completed as a Word document; 2.) Scanned into PDF format (to capture authorizing signatures;, and 3.) Uploaded into the G5 system as a “Narrative.” Please note that this process is unlike the uploading process for the APR. Instead of being scanned into a PDF, the APR must be converted into a PDF using the Adobe feature and then uploaded into G5 as a “Narrative.”