Important Read!
You must submit, via fax, a signed copy of Section I of the annual performance report form that
certifies that the information submitted electronically is accurate, complete, and readily verifiable.
Please print Section I for the project director and certifying official to sign. Once the document is
signed, please fax in a copy of Section I only of the report at (703) 995-4493. The Department of
Education only needs a fax copy of Section I of the report form. Please do not fax in a copy of the
entire report.
Section 1. Project Identification
1. PR/Award Number:
2. Name of Grantee:
3. Address
(City, State, Zip):
4. Name of Project
Director/Contact Person:
5. Phone Number:
Fax No:
E-mail Address:
6. Report Period:
7. Type of Report:
8. Name and Contact Information
of Data Entry Person:
Phone Number:
Email Address:
P044A020015
Purdue University/ West Lafayette
Hovde Hall,
West Lafayette, IN. 47907Melvyn Harding
219-989-2460 ext. 2298
219-989-2094 ext.
[email protected]
09/01/2004 to 08/31/2005
TS
Melvyn D Harding:
219-989-2460 ext. 2298
[email protected]
Certification: We certify that the performance report information reported and
submitted electronically on _____________ is readily verifiable. The information
reported is accurate and complete to the best of our knowledge.
________________________________ ________________________________
Name of Project Director (Print)
Name of Certifying Official (Print)
________________________________ ________________________________
Signature and Date
Signature and Date
Warnings: Any person who knowingly makes a false statement or
misrepresentation on this report is subject to penalties which may include fines,
imprisonment, or both, under the United States Criminal Code and 20 U.S.C.
1097.
Further Federal funds or other benefits may be withheld under this program unless
this report is completed and filed as required by existing law (20 U.S.C. 1231a) and
regulations (34 CFR 75.590 and 75.720).
Section II. Demographic Profile of Project Participants
Number of Participants Funded to Serve:
A. Number of Participants Assisted
1. New participants
2. Continuing participants
3. Total participants
B. Participant Distribution by Eligibility
1. Low-income & potential first-generation college students
2. Low-income (only)
3. Potential first-generation college students (only)
4. Other
5. Total
C. Participant Distribution by Race and Ethnicity
1. American Indian or Alaska Native
2. Asian
3. Black or African American
4. Hispanic or Latino
5. White
6. Native Hawaiian or Other Pacific Islander
7. More than one race reported
8. Not Reported
9. Total
D. Participant Distribution by Gender
700
NUMBER
134
566
700
NUMBER
461
46
140
53
700
NUMBER
1
2
442
165
64
0
26
0
700
NUMBER
1.
2.
3.
E.
1.
2.
3.
4.
5.
6.
F.
1.
2.
3.
4.
5.
G.
1.
2.
3.
4.
5.
6.
H.
I.
J.
Male
Female
Total
Participant Distribution by Age
(Age of participant at the beginning of report period)
11-13
14-18
19-27
28 & above
Unknown
Total
Grade Level Distribution of Secondary (Middle and High)
School Students
(Grade of participant at the beginning of report period)
Middle school (6th-8th grade) (TS only)
High school (9th-11th grade)
High school (12th grade only)
Secondary school dropout (not older than 18)
Total
Educational Status of Project Participants Not in Secondary
School
(Education status of participant at the beginning of report
period)
Adult without high school credential
High school (or GED) graduate
Postsecondary stopout
Postsecondary student (EOC only)
Postsecondary transfer
Total
Veterans Served
Participants of Limited English Proficiency
Target Schools
310
390
700
NUMBER
229
467
3
1
0
700
NUMBER
268
352
77
0
697
NUMBER
0
3
0
0
0
3
0
0
Target School Name
City
State
Zip
Block Junior High School
East Chicago
IN
46312
Calumet High School
Gary
IN
46408
Central High School
East Chicago
IN
46312
Clark Middle/High School
Hammond
IN
46394
Eggers Middle School
Hammond
IN
46323
Gavit Middle/High School
Hammond
IN
46324
Hammond High School
Hammond
IN
46320
Lake Ridge Middle School
Gary
IN
46408
Scott Middle School
Hammond
IN
46323
West Side Junior High School
East Chicago
IN
46312
Section III. Project Performance Outcomes
A. Secondary School Promotion, Graduation, and Reentry
(Talent Search -- 34 CFR 643.22(b)(2))
Approved Objective(s):
Secondary school promotion
85 % non-senior of secondary participants served this project period will be
promoted to the next grade level at the end of the academic (school) year.
Secondary school graduation
85 % of high school seniors (and GED or alternative education students) will
graduate from high school or receive a certificate of high school
equivalency this project period.
Secondary school re-entry
75 % of secondary school dropouts will re-enter a program of secondary
education this project period.
Participant Status of Secondary School Students (At the End of this Number of
Reporting Period)
Participants
A1. Promoted to next grade in middle school (TS only)
165
A2. Promoted from middle school to high school (TS only)
102
Promoted to next grade in high school (do not include those who
A3.
327
graduated)
A4. Retained in current grade in middle school (TS only)
1
A5. Retained in current grade in high school
1
A6. Dropped out of middle school (TS only)
0
A7. Dropped out of high school
Re-entered secondary school/enrolled in GED or other high
A8.
school equivalency program
A9. Received high school diploma
A10. Obtained a GED/high school equivalency credential
A11. Other (e.g., death)
A12. Unknown
A13. Total
11
0
77
0
8
5
697
B. Admissions and Financial Aid Assistance
(Talent Search, 34 CFR 643.1; EOC, 34 CFR 644.1 and 644.22(b)(2))
Approved Objective(s):
Assistance in applying for postsecondary admissions
80 % of "college ready" project participants will receive assistance in applying
for postsecondary admission this project period.
Assistance in applying for student financial aid
80 % of "college ready" project participants will receive assistance in applying
for financial aid this project period.
Assistance Provided
B1. Applied for admission to programs of postsecondary education
B2. Applied for student financial aid for postsecondary education
Number of
Participants
63
64
C. Postsecondary Admission and Re-entry
(Talent Search, 34 CFR 643.22(b)(3); EOC, 34 CFR 644.22(b)(3))
Approved Objective(s):
Postsecondary admission
75 % of "college ready" participants will enroll into a program of
postsecondary education this project period (or for the fall term).
Postsecondary re-entry/transfer
75 % of postsecondary education stopouts and postsecondary transfer
participants will re-enter a program of postsecondary education this project
period (or for the fall term).
Postsecondary persistence/completion (EOC only)
Postsecondary persistence/completion (EOC only)
0 % of postsecondary students will continue or complete a program of
postsecondary education this project period (or for the fall term).
Postsecondary Enrollment (At the End of this Reporting Period)
Number of
Participants
C1. Enrolled in (or admitted to) a program of postsecondary education
61
(first-time enrollment in postsecondary education)
C2. Re-enrolled in (or admitted to) a program of postsecondary
0
education (include transfer participants)
C3. Continued in or completed a program of postsecondary education
0
(EOC only)
Status of Remaining Participants not in Postsecondary School (at
end of this reporting period)
C4. High school graduate not enrolled in program of postsecondary
education
C5. Withdrew from postsecondary education
C6. Other (e.g., death)
C7. Unknown
C8. Total
Number of
Participants
16
0
0
3
80
D. For those participants enrolled in, admitted to, or continuing in a program
of postsecondary education as reported in Section III, C1,C2, and C3
above, indicate the number of participants enrolled in or admitted to the
following types of postsecondary institutions:
Type and Control of Postsecondary Institutions
Number of
Participants
D1. Public, two-year institution
3
D2. Private, non-profit, two-year institution
2
D3. Public, four-year institution
38
D4. Private, non-profit, four-year institution
14
D5. Public or non-profit vocational/technical institution
0
D6. Proprietary school
4
D7. Unknown
0
D8. Total
61
Section IV. Other Project Accomplishments
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