Jacob K. Javits Fellowship Program Final Performance Rep

Jacob K. Javits Fellowship Program Final Performance Report

Att_JKJ FPR 07 (JH) 3367.xls

Jacob K. Javits Fellowship Program Fianl Performance Report

OMB: 1840-0752

Document [xlsx]
Download: xlsx | pdf

Overview

Sec 1
Sec 2


Sheet 1: Sec 1

Section I: Grantee Information
Grant Number:




Institution Name:




Address:




City:




State:




Zip:




Program Coordinator:




Telephone Number:




Fax Number:




E-mail Address:




Total Number of Jacob K. Javits fellowships originally awarded to the grantee institution in FY XXXX:
Fiscal Data




Please enter data for each budget period and the budget for the project period.





Budget Period 1 FY XXXX Budget Period 2 FY XXXX Budget Period 3 FY XXXX Budget Period 4 FY XXXX Total Budget for Project Period FY XXXX-XXXX
Federal Funds Awarded:



$0
Federal Funds Expended:



$0
Federal Funds Remaining:



$0

Sheet 2: Sec 2

Section II: Individual Student Data
Please enter the requested data for each individual Javits fellow. If you have more than one fellow, please copy this worksheet by right-clicking on the tab below that says "Sec 2" and selecting "Move or Copy." Then, check the box that says "Create a copy" and select "move to end." Then click "OK." Do this as many times as necessary to create a sheet for each fellow.
General Information
Fellow's Name:



Last name, First name





Fellow's Gender:
Male:

Female:


Ethnicity:








Hispanic or Latino







Not Hispanic or Latino






Race:








American Indian or Alaska Native







Asian







Black or African American







Native Hawaiian or other Pacific Islander







White






Program of Study
Fellow's Discipline (please select from the following approved fields of study):

Anthropology

History




Archaeology

Less Commonly Taught Languages




Area Studies

Linguistics




Art History

Music




Classics

Non-American History




Communications and Media

Philosophy




Comparative Literature

Political Science




Creative Writing

Psychology




Criminology

Public Policy and Administration




Economics

Religion




English

Sociology




Ethnic and Cultural Studies

Speech, Rhetoric and Debate




Folklore, Folk Life

Studio Arts




Foreign Language

Theater Arts




Geography

TV, Film and Cinematography



Terminal Degree Sought:







What is the fellow's current education status?








Is enrolled but not yet advanced to Ph.D. candidacy







Has passed preliminary exams and advanced to Ph.D. candidacy







Has received Ph.D.







If fellow has received Ph.D., please specify the month and year of graduation:







Month:
Year:





Has withdrawn from his/her academic program prior to graduation







Other (Please specify in comment box below)







Comments:















If the fellow was employed part-time while receiving Javits fellowship funding, please indicate the type of employment:

Research Assistant







Teaching Assistant







Other (please specify):







Not Applicable















How does the fellow plan to finance his/her remaining graduate study if the Javits fellowship funding ended before the date of graduation?

Fellowship







Scholarship







Research Assistantship







Teaching Assistantship







Student Loans







Employment (full-time or part-time)







Other (please specify):















Is the fellow's post-graduate employment in a field that relates directly to his/her academic field of study, as funded by the Javits fellowship?

Yes







No







Not yet graduated







Graduated; not yet found employment







Unknown















Where did the fellow find employment after graduation (check all that apply)?








Institution of higher education







Other educational institution







Federal, state or local government







Community-based/Non-profit organization







Research organization







Private Sector







International employment







Continued post-graduate study







Other (please specify):







Not Applicable (not yet graduated; not yet found employment)







Unknown















Start Date of Graduate Study:







Start Date of Javits Fellowship:







End Date of Javits Fellowship:







Total Years of Javits Fellowship Funding:







Total Years of Graduate Study:
















Fellow's Stipend and Financial Need
Financial need is determined each year on the basis of the requirements for need analysis prescribed by Title IV, Part F of the Higher Education Act of 1965, as amended. Please consult your institution's financial aid office for information or questions regarding the determination of financial need.









Please report the fellow's stipend, as determined by his/her financial need, for each budget period of the grant (Note: please indicate the stipend amount received by the student in that budget period; this may differ from the amount of stipend funding actually awarded by the Javits Fellowship Program to the institution for that fellow during the budget period, due to carry over of unused funds):









Budget Period 1 (FY XXXX):






Budget Period 2 (FY XXXX):






Budget Period 3 (FY XXXX):






Budget Period 4 (FY XXXX):






Total for Project Period:

$0












Total Federal Funding







Please indicate the total amount of Javits fellowship funding received by your institution in each budget period for this fellow. In the "Stipend" column, please do not include funds carried over from previous years. Include only the funds awarded to you in that fiscal year/budget period.










Budget Period Stipend Institutional Payment Total


1 (FY XXXX)

$0


2 (FY XXXX)

$0


3 (FY XXXX)

$0


4 (FY XXXX)

$0


TOTAL: $0 $0 $0




















DISCLOSURE OF BURDEN STATEMENT

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1840-0752 and the expiration date is xx/xx/xx. The time required to complete this information collection is estimated to average 6 hours per response, including the time to review instructions, search existing data resources, gather needed data, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate (s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4651. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: The Jacob K. Javits Fellowship Program, U.S. Department of Education, 1990 K Street, N.W., Washington, DC 20006-8521.
File Typeapplication/vnd.ms-excel
AuthorSara.Starke
Last Modified ByTara.Bell
File Modified2007-08-22
File Created2007-05-29

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