Form 0

OMB Approval No: 1840-0525

Expiration Date: 08/31/2014

Student Support Services Program

2013-14 Annual Performance Report

Section I, Part 1—Project Identification/Characteristics

Certification and Warning Statements

A. Project Identification

1 PR/Award Number: [pre-populated] P042A _______________

2. Type of Institution [pre-populated]________________________

3. Project Type: [pre-populated] ___________________________

4. Reporting Period: [pre-populated] _______________________

5. GPA Scale: [pre-populated)_______________________

6. Name of Grantee Institution: [pre-populated]

_________________________________________________

7. Address:__________________________________________

_________________________________________________

_____________________________ _____ ___________

City State Zip + 4

B. Project Director and Data Entry Person Information

8. Project Director Information [pre-populated]

8a. Name of Project Director:

______________________ ___ __________________

First Name MI Last Name

8b. Telephone #: (______) ________________________

Area Code Number Ext.

8c. Fax #: (______) ________________________

Area Code Number

8d. Email Address:_________________________________

D. 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 Date Signature Date

E. 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).

Authority: Public Law 104-13, as amended.

Paperwork Burden Statement: 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. The valid OMB control number for this information collection is 1840-xxxx. The time required to complete this information collection is estimated to average 15 hours per response, including the time to review instructions, search existing data resources, gather required 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, D.C. 20202-4536. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Federal TRIO Programs, U.S. Department of Education, 1990 K Street, N.W., Suite 7000, Washington, D.C. 20006-8510.

9. Data Entry Person Information

9a. Name of Data Entry Person:

____________________ ____ _________________

First Name MI Last Name

9b. Telephone #: (______) _______________________

Area Code Number Ext.

9c. Email Address:_____________________________

C. Project Characteristics

10a. Has a Summer Bridge Program? 10e. If yes in field #10d, please enter the dollar amount for

 Yes  No

10b. If yes in field #10a, number of summer bridge participants served: _____________ 10f. Received institutional or other non-federal funds?

10c. Used Federal grant funds to provide Grant Aid? 10g. If yes in field #10f, please enter the dollar amount for the

 Yes  No reporting period: $______________

10d. Required to provide matching funds for Grant Aid?

 Yes  No

10e. If yes in field #10d, please enter the dollar amount for the reporting period: $_____________.00.

10f. Received institutional or other non-federal funds?

 Yes  No

1

D. 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 Date Signature Date

E. 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).

Authority: Public Law 104-13, as amended.

Paperwork Burden Statement: 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. The valid OMB control number for this information collection is 1840-xxxx. The time required to complete this information collection is estimated to average 15 hours per response, including the time to review instructions, search existing data resources, gather required 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, D.C. 20202-4536. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Federal TRIO Programs, U.S. Department of Education, 1990 K Street, N.W., Suite 7000, Washington, D.C. 20006-8510.

0g. If yes in field #10f, please enter the dollar amount for the reporting period: $_____________.00.

Section I, Part 2—Project Required Services

Required Services	Number of participants receiving service that was provided by project		Number of participants referred to another service provider
Academic Tutoring		______	______
Advice and assistance in postsecondary course selection		______	______
Education/counseling to improve financial and economic literacy		______	______
Information in applying for Federal Student Aid		______	______
Assistance in completing and applying for Federal Student Aid		______	______
Assistance in applying for admission to Graduate School and obtaining Federal student aid (not applicable to 2-year institutions)		______	______
Assisting in applying for admission to 4-Year Institution and obtaining Federal student aid (not applicable to 4-year institutions)		______	______

Definitions:

The “Number of participants receiving service that was provided by project” is defined as those participants that were offered services by the project and subsequently received services from the project. This figure does not include participants that were offered services by the project but declined them (e.g., due to lack of need, participant refused the service, etc.).

The “Number of participants referred to another service provider” is defined as those participants that were offered services by the project but were subsequently referred to another service provider. Note that the Department is not asking projects to report on whether participants actually received services from the service provider or for projects to follow-up with these participants to ensure services were rendered. The Department is only requesting that the projects report on the number of participants that were referred to another service provider.

The Department is asking projects to report on the number of participants, not the number of contacts. For instance, if a participant received a service that was provided by a project multiple times, he/she should only be counted once for the purposes of this report. However, it is possible for a participant to be counted once in each of the two columns for a given service; that is, a participant received a service that was provided by the project and was also referred to another service provider. For example, a participant might have received math tutoring that was provided by the project but was also referred to another service provider for language arts tutoring.

OMB Approval No: 1840-0525

Expiration Date: 08/31/2014

STUDENT SUPPORT SERVICES (SSS) PROGRAM

2013-14 ANNUAL PERFORMANCE REPORT (APR)

SECTION II -- RECORD STRUCTURE FOR PARTICIPANT LIST

A grantee must submit student records in Excel or CSV format. For additional information regarding data submission, please see the instructions under “HOW MAY THE REPORT BE SUBMITTED?” REPORTING REQUIREMENT: The Department requires grantees to submit participant records for all students served by the project in the past six years (i.e., cohort years 2008-09 through 2013-14) in the case of a 4-year institution and four years (i.e., cohort years 2010-11 through 2013-14) in the case of a 2-year institution. For additional information on data submission requirements, please see the instructions.

Field #	Field Name	Database Column Name	Valid Field Content
II.A. Project Identifiers (pre-populated)
1	PR/Award Number	PR	The eleven-digit PR/Award Number can be found in Block 5 of the project’s Grant Award Notification for the reporting year.
2	Batch Year	BatchAY	2013 for Project Year 2013-14
II.B. Participant Demographic Information, Eligibility and Cohort Status, and Project Entry Information The fields (#3 - #21) in this section do not require annual updates.
3	Social Security Number	SSN	001010001 to 999999998 Unknown = 000000000 NOTE: Please format the SSN in nine digits greater than 0. If using EXCEL, you may use dashes (e.g., 123-45-5667 or 123456789). Do not use letters. The information in this field should be the same as provided in the previous reporting period and cannot be changed in future reporting years.
4	Student’s Last Name	LastNM	0 to 9 Uppercase A to Z . (period) ‘ (apostrophe) - (dash) NOTE: First position will be justified with an uppercase A-Z. No blanks will be accepted. The information in this field should be the same as provided in the previous reporting period and cannot be changed in future reporting years.
5	Student’s First Name	FirstNM	0 to 9 Uppercase A to Z . (period) ‘ (apostrophe) - (dash) NOTE: First position will be justified with an uppercase A-Z. No blanks will be accepted. The information in this field should be the same as provided in the previous reporting period and cannot be changed in future reporting years.
6	Student’s Middle Initial	MI	Uppercase A to Z Blank = No response
7	Student’s Date of Birth	DOB	Participant’s date of birth is: Format is MM/DD/CCYY MM = 01– 12 DD = 01 – 31 CC = 19 – 20 YY = 00 – 99 00/00/0000 = No response/Unknown NOTE: The information in this field should be the same as provided in the previous reporting period and cannot be changed in future reporting years.
8	Gender	GenderCD	Participant is a: 1 = Male 2 = Female 0 = No response/Unknown
9	Ethnicity—Hispanic	Hispanic	Participant is identified as Hispanic/Latino. 1 = Yes 2 = No NOTE: Hispanic/Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. As such, every Hispanic/Latino person has an associated race(s).
Please provide race information for every participant, ethnicity notwithstanding. Please see instructions for additional detail for fields #10 through #14.
10	Race—American Indian/Alaskan Native	AmIndAK	Participant is identified as American Indian/Alaskan Native. 1 = Yes 2 = No NOTE: American Indian/Alaskan Native refers to a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
11	Race—Asian	Asian	Participant is identified as Asian. 1 = Yes 2 = No NOTE: Asian refers to a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
12	Race—Black or African American	BlackAfrAm	Participant is identified as Black or African American. 1 = Yes 2 = No NOTE: Black or African American refers to a person having origins in any of the black racial groups of Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American."
13	Race—White	White	Participant is identified as White. 1 = Yes 2 = No NOTE: White refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
14	Race—Native Hawaiian or Other Pacific Islander	HIPacIslndr	Participant is identified as Native Hawaiian or Other Pacific Islander. 1 = Yes 2 = No NOTE: Native Hawaiian or Other Pacific Islander refers to a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
15	Eligibility	EligibilityCD	Participant is: 1 = Low-Income and First-Generation 2 = Low Income only 3 = First-Generation only 4 = Disabled 5 = Disabled & Low Income 0 = No response/Unknown
16	Academic Need (at initial selection)	NeedCD	Participant’s academic need is based on: 1 = Low high school grades 2 = Low admission test scores 3 and 4 = No longer used 5 = Predictive indicator 6 = Academic proficient tests 7 = Low college grades 8 = High school equivalency 9 = Failing grades 10 = Out of the academic pipeline for 5 or more years 11 = Other 12 = Limited English proficiency 13 = Lack of educational and/or career goals 14 = Lack of academic preparedness for college level course work 15 = Need for academic support to raise grade(s) in required course(s)/academic major 0 = No response/Unknown NOTES: Select the criterion that best describes the participant’s academic need. Since many students may qualify for project services based on more than one criterion, please select the main criterion that was used to determine the individual’s need for project services. Please use option #11, “Other” sparingly. Predictive indicator is a composite variable for estimating the potential success of a student in college using a variety of factors that may include indicators such as high school GPA, SAT or ACT test scores, high school preparedness, etc. Academic proficient tests include tests used for clinical purposes such as to determine learning disabilities as well as placement tests and study skills inventories.
17	First Enrollment Date (at grantee institution)	FirstEnrollDT	Participant’s first enrollment date at the grantee institution is: Format is MM/DD/CCYY MM = 01– 12 DD = 01 – 31 CC = 19 – 20 YY = 00 – 99 00/00/0000= No response/Unknown
18	Date of First Project Service	FirstServiceDT	Participant’s date of first project service is: Format is MM/DD/CCYY MM = 01– 12 DD = 01 – 31 CC = 19 – 20 YY = 00 – 99 00/00/0000= No response/Unknown
19	College Grade Level (entry into project)	EnterGradeLV	Participant’s college grade level at entry into the project is: 1 = 1st yr., never attended 2 = 1st yr., attended before 3 = 2nd yr./sophomore 4 = 3rd yr./junior 5 = 4th yr./senior 6 = 5th yr./other undergraduate 0 = No response/Unknown NOTE: Use your institution’s classification grade level when determining the participant’s college grade level. Use options 3, 4, 5, and 6 only for students who have the required number of credits and GPA to be classified at the institution as sophomore, junior, senior, and other undergraduate, respectively.
20	Enrollment Status (in academic year first served)	FirstServEnrollCD	Participant enrollment status in the year first served is: 1 = Full-time (at least 24 credit hours or 36 clock hours in an academic year) 2 = 3/4 time (at least 18 credits hours or 27 clock hours in an academic year) 3 = 1/2 time (at least 12 credit hours or 18 clock hours in an academic year) 4 = Less than 1/2 time (fewer than 12 credit hours or less than 18 clock hours in an academic year) 9 = Not applicable (prior year participants no longer enrolled) 10 = Not applicable (New participant—summer session participants who did not earn college credits) 0 = No response/Unknown NOTE: If a participant is “New” in this reporting period, then the Enrollment Status in the academic year first served (field #20) and the Enrollment Status at the end of the reporting period (field #23) are the same. If the participant is a new summer participant who did not earn college credits in this reporting period, please select option #10 in both fields #20 and #23.
21	Student Cohort Year	StuCohortYR	Participant’s Student Cohort Year is: 1 = Other (prior to 2005-06) 2 through 6 = No longer used 7 = 2005-06 8 = 2006-07 9 = 2007-08 10 = 2008-09 11 = 2009-10 12 = 2010-11 13 = 2011-12 14 = 2012-13 15 = 2013-14 16 = 2014-15 17 = Not applicable (please see note below) NOTE: Select option 17 if the student is a continuing participant in this reporting period (field 22, option 2) but was not on your 2012-13 data file. If the student is a prior-year participant and they were not on your 2012-13 APR data file, either select option 17 or delete the record. For additional instructions, please refer to the instructions.
II.C. Participant’s Status and Academic Status The following fields (#22 - #25) may require annual updates, dependent on a per-participant basis.
22	Participant Status (during academic year)	PartCD	Participant is a: 1 = New participant (part of 2013-14 cohort for this reporting period) 2 = Continuing participant 3 = Prior-year participant (enrolled but not receiving SSS services) 4 = Prior-year participant (no longer enrolled at grantee institution) 5 through 7 = No longer used 8 = New Summer participant—Earned College Credits (2014 summer session only; part of 2014-15 cohort) 9 = New Summer participant— Did not Earn College Credits (2014 summer session only; part of 2014-15 cohort) A new participant is an individual who was served by the SSS project for the first time in this reporting period (PY 2013-14) and meets the definition of participant in 34 CFR 646.7(b) of the SSS program regulations. A continuing participant is an individual who was served by the SSS project for the first time in any prior reporting period and also received services in the 2013-14 reporting period. For APR reporting purposes, a participant who left the grantee institution in a previous reporting period but reentered the institution and was served by the project in 2013-14, is considered a “continuing” participant. A prior-year participant enrolled at grantee institution is an individual served by the SSS project in any prior reporting period that was enrolled at the grantee institution during the current reporting period but did not receive project services on a continual basis during the reporting period. This definition includes a prior-year participant who received a certificate/diploma from a program that is less than two years in duration and is pursuing an associate’s degree at the grantee institution. A participant who left the grantee institution in a previous reporting period but reentered the institution and was not served by the project in 2013-14, is considered a “prior-year participant enrolled at grantee institution”. A prior-year participant not enrolled at the grantee institution is an individual who was not enrolled at the grantee institution during the current reporting period (2013-14). A new participant--summer session only who earned college credits is an individual served by the SSS project for the first time during the summer session preceding the participant’s first academic year at the grantee institution (i.e., served during summer 2014 prior to the 2014-15 academic year) and earned college credits. This student is thus part of the next year’s cohort (i.e., 2014-15, field #21, option “16”). This definition does not include a student enrolled at the grantee institution prior to the summer session but who received services from the SSS project for the first time during the summer 2014. This individual would meet the definition of “new participant” (field #22, option “1” and would be in the 2013-14 cohort (field #21, option “15”). A new participant--summer session only who did not earn college credits is an individual served by the SSS project for the first time during the summer session preceding the participant’s first academic year at the grantee institution (i.e., served during summer 2014 prior to the 2014-15 academic year) and did not earn any college credits. This student is thus part of the next year’s cohort (i.e., 2014-15, field #21, option “16”). This definition does not include a student enrolled at the grantee institution prior to the summer session but who received services from the SSS project for the first time during the summer 2014. This individual would meet the definition of “new participant” (field #22, option “1” and would be in the 2013-14 cohort (field #21, option “15”). NOTE: The sum of the number of new (option #1); continuing (option #2); and new summer session only (options #8 and #9) should equal the total number of participants the project served during the 2013-14 academic year.
23	Enrollment Status (at the end of the academic year)	EnrollCD	Participant’s enrollment status at the end of the academic year is: 1 = Full-time (at least 24 credit hours or 36 clock hours in an academic year) 2 = 3/4 time (at least 18 credits hours or 27 clock hours in an academic year) 3 = 1/2 time (at least 12 credit hours or 18 clock hours in an academic year) 4 = Less than 1/2 time (fewer than 12 credit hours or less than 18 clock hours in an academic year) 9 = Not applicable (prior year participants no longer enrolled) 10 = Not applicable (New summer participant—2014 summer session participants who did not earn college credits) 0 = No response/Unknown
24	Academic Standing	AcamStandCD	Participant’s academic standing is: 1 = Good standing 2 = Not in good standing 9 = Not applicable (prior-year participant no longer enrolled) 10 = Not applicable (New summer participant—2014 summer session participants who did not earn college credits) 0 = No response/Unknown NOTE: Use your institution’s definition of good academic standing. Please complete for all new, continuing participants, prior-year participants still enrolled, and new summer participants who earned college credits. Use option “9” (Not applicable) for prior-year participants no longer enrolled. Use option “10” for new summer participants who did not earn any college credits.
25	Cumulative GPA	CumGPA	Participant’s cumulative GPA is: 0.000 to 5.000 9.999 = Not applicable (prior-year participant no longer enrolled and new summer participants who did not earn college credits) Blank = No response/Unknown NOTE: Complete for all new, continuing, prior-year participants still enrolled, and new summer participants who earned college credits. Use “9.999” for prior-year participants no longer enrolled and new summer participants who did not earn any college credits.
II.D. Academic Progress/Persistence The following fields (#26 - #34) may require annual updates, dependent on a per-participant basis.
26	College Grade Level (at the beginning of the academic year)	BegCurrentGradeLV	Participant’s college grade level at the beginning of the academic year was: 1 = 1st yr., never attended 2 = 1st yr., attended before 3 = 2nd yr./sophomore 4 = 3rd yr./junior 5 = 4th yr./senior 6 = 5th yr./other undergraduate 7 = Dual degree program 8 = Graduate/Professional Student 15 = Not applicable (New summer participant—2014 summer session) 99 = Not applicable (prior-year participant no longer) 0 = No response/Unknown NOTE: Use grade level options 3, 4, 5, and 6 only for students who have the required number of credits and GPA to be classified by the participant’s grantee institution as a sophomore, junior, senior, and other undergraduate respectively. Use option “7” for an individual enrolled in a program that awards both the bachelor’s and a graduate degree upon successful completion of the program of study. Use option “8” for a student who graduated with a bachelor’s degree and then entered graduate/professional school during the academic year. Use option “15” for an individual who is a new summer participant (i.e., field #22, options 8 or 9). Use option “99” for an individual who is a prior-year participant no longer enrolled at the grantee institution including students who received a bachelor’s degree or equivalent in a previous reporting period.
27	College Grade Level (at the end of the academic year)	CurrentGradeLV	Participant’s college grade level at the end of the academic year is: 1 = No longer used 2 = 1st yr. 3 = 2nd yr./sophomore 4 = 3rd yr./junior 5 = 4th yr./senior 6 = 5th yr./other undergraduate 7 = Dual degree program 8 = Graduate/Professional Student 10 = Not applicable (New summer participant—2014 summer session only not earning college credits) 99 = Not applicable (prior-year participant no longer enrolled) 0 = No response/Unknown NOTE: Use grade level options 3, 4, 5, and 6 only for students who have the required number of credits and GPA to be classified by the participant’s postsecondary institution as a sophomore, junior, senior, and other undergraduate respectively. Use option #6 if a student received a bachelor’s degree or equivalent in this reporting period. If the student received a bachelor’s degree or equivalent in a previous reporting period, use option “99”. Use option “7” for an individual enrolled in a program that awards both the bachelor’s and a graduate degree upon successful completion of the program of study. Use option “8” for a student who graduated with a bachelor’s degree and then entered graduate/professional school during the academic year. Use option “10” for participants who were served by the SSS project for the first time during the summer session preceding the participant’s first academic year at the grantee institution and did not earn any college credits. Use option “99” for an individual who is a prior-year participant no longer enrolled at the grantee institution including students who received a bachelor’s degree or equivalent in a previous reporting period.
28	Date of Last Project Service	LastSerDT	Participant’s date of last project service is: Format is MM/DD/CCYY MM = 01– 12 DD = 01 – 31 CC = 19 – 20 YY = 00 – 99 88/88/8888 = Not applicable, still enrolled in project 00/00/0000= No response/Unknown
29	Reason for Withdrawal or Not Returning	ReaforWith	Reason participant withdrew/did not return is: 1 = Academic dismissal 2 = Dismissal for non-academic reasons 3 = Withdrew/Did not return for financial reasons 4 = Withdrew/Did not return for health reasons 5 = Withdrew/Did not return for academic reasons 6 = Withdrew/Did not return for personal reasons 7 = Not applicable (called for military service or deceased) 8 = Not applicable (student still enrolled, completed certificate program, graduated or transferred) 0 = No response/Unknown
30	Transfers	Transfers	Participant’s transfer status is: 1 = Transferred from a 2-year institution to another 2-year institution 2 = Transferred from a 2-year institution to a 4-year institution 3 = Transferred from a 4-year institution to another 4-year institution 4 = Transferred from a 4-year institution to a 2-year institution 8 = Did not transfer, still enrolled or graduated (participant is still enrolled at the grantee-institution, graduated with a bachelor’s degree, received an associate’s degree or certificate and did not transfer to a 4 year institution) 9 = Did not transfer, not enrolled at grantee institution (participant withdrew, did not return, was called for military service or is deceased) 0 = No response/Unknown
31	Undergraduate Degree/Certificate Completed at Grantee Institution	DegreeCD	Participant’s degree/certificate status is: 1 = Certificate/diploma for occupational, educational program (less than two-year program)—Did not transfer from a 2 to a 4 year institution 2 = Certificate/diploma for occupational, educational program (at least two-year program)—Did not transfer from a 2 to a 4 year institution 3 = No longer used 4 = 1st Bachelor’s degree 5 = No longer used 6 = Equivalent of Bachelor’s Degree 7 = No longer used 8 = No degree/certificate, still enrolled at grantee 9 = No degree, not enrolled (withdrew from grantee institution prior to obtaining degree/certificate, did not return to grantee institution including those students who transferred without getting a degree/certificate and second bachelor’s degree without receiving a first bachelor’s degree from the grantee institution) 10 = Associate’s degree only—Did not transfer from a 2 to a 4 year institution 11 = Associate’s degree AND transferred from a 2 to a 4 year institution within the academic year or by the beginning of the next academic year. 12 = Certificate AND transferred from a 2 to a 4 year institution within the academic year or by the beginning of the next academic year. 0 = No response/Unknown Select option #1 or #2 if the student received a certificate only. Once a certificate has been reported, please do not change this response in subsequent reporting years unless you reported it incorrectly or the participant earned an associate’s degree only (option 10) within the 4-year time-frame. Select option #4 if a student received a first bachelor’s degree. Once you report the first bachelor’s degree, please do not update this field in subsequent reporting periods. If the participant received a first bachelor’s degree and later on received a second bachelor’s degree within the six year time frame, please select option #4 and provide the date the first bachelor’s degree was awarded in field #32. Unless you reported the attainment of a bachelor’s degree incorrectly, once you report this degree, please do not change this response in subsequent reporting years. If the participant did not receive a first bachelor’s degree from the grantee institution but received a second bachelor’s from the grantee institution, please select option #9. Select option #6 if the student is enrolled in a dual degree program and has completed all of the requirements for a bachelor’s degree. Unless you reported the attainment of equivalent of a bachelor’s degree incorrectly, once you report this status, please do not change this response in subsequent reporting years. Select option #8 if the student is still enrolled at the grantee institution but has not yet completed their undergraduate program of study. Select option #9 for participants who withdrew from the grantee institution prior to obtaining a degree/certificate, did not return to grantee institution, or transferred without receiving a degree including students who transferred from a 2-year to a 4-year institution. Also select this option if the participant attained a second bachelor’s without attaining a first bachelor’s from the grantee institution. Select option #10 if the student received an associate’s degree only. Unless you reported the attainment of an associate’s degree incorrectly, once you report this degree, please do not change this response in subsequent reporting years. Select option #11 if the student received an associate’s degree and transferred from a 2-year to a 4-year institution within the academic year or by the beginning of the next academic year. Also select option 11 if the student received an associate’s degree and transferred to a four year program at the grantee institution within the academic year or by the beginning of the next academic year. Select option #12 if the student received a certificate and transferred from a 2-year to a 4-year institution within the academic year or by the beginning of the next academic year. Also select option 12 if the student received a certificate and transferred to a four year program at the grantee institution within the academic year or by the beginning of the next academic year. If option 11 or 12 is selected, unless you report the attainment of a certificate/associate’s degree and transferred to a 4-year institution incorrectly, once you report this status, please do not change this response in subsequent reporting periods.
32	Date of Undergraduate Degree/Certificate	DOUD	Date the participant attained the degree or certificate: Format is MM/DD/CCYY, e.g., 05/23/2010 MM = 01- 12 DD = 01 - 31 CC = 20 YY = 00 - 99 (e.g., 10 = 2010) 88/88/8888 = No degree earned yet 00/00/0000 = No response/Unknown NOTE: This date must be the date of the degree/certificate noted in field #31. If you do not know the exact date, use 15 for the day and use your best estimate for the month.
33	Field of Study Degree/Certificate Earned	DegCertFieldErnd	Participant earned degree in: 1 = Humanities 2 = Social/Behavioral Sciences 3 = Life Sciences 4 = Physical Sciences 5 = Mathematics 6 = Computer/Information Science 7 = Engineering 8 = Teacher Education (Teacher Prep) 9 = Education-Research & Administration 10 = Business/Management 11 = Health Professions & Related Sciences 12 = Vocational/Technical 13 = Communication/Journalism/Technologies 14 = General Studies/Transfer Degree 15 = Other technical/professional 16 = Has not earned a degree/certificate 0 = Unknown NOTES: If the participant (i.e., all current and prior-year participants) received a certificate or degree, please select the field of study (options 1 - 15) in which the degree or certificate was earned. If the participant has not earned a degree/certificate, select option “16”. If you do not know the field of study in which the degree or certificate was earned, select option “0—Unknown.” Option 14 is for two-year institutions who do not offer a degree/certificate in a specific field of study. Select this option if the student has met all of the requirements for a degree, certificate, and/or transfer. All other two year institutions who do offer a degree/certificate in a specific field of study should indicate the student’s major field of study in which the degree or certificate was attained.
34	Persistence Status (at the beginning of the 2013-14 academic year)	CurPerstStatus	Participant’s enrollment status at the beginning of the 2013-14 academic year was: 1 = Enrolled at grantee institution 2 = Has graduated from the grantee institution with an associate's degree or received a certificate and transferred from a 2 to a 4-year institution 3 = Has transferred from the grantee institution (i.e., 2-year) to a 4-year institution without receiving an associate's degree or certificate 4 = Has graduated from the grantee institution with an associate’s degree or received a certificate but did not transfer to a 4-year institution. 5 = Has graduated from the grantee institution with a bachelor’s degree or equivalent 6 = Not enrolled at grantee institution 0 = No response/Unknown NOTE: Use option “1” if the student is still enrolled at the grantee institution at the beginning of the 2013-14 academic year. Use option “2” only if the student graduated from the grantee institution with an associate’s degree or received a certificate and transferred from a 2 to a 4-year institution. Use option “3” for students who transferred from a 2 to a 4 year institution but did not receive an associate's degree or certificate from the grantee institution. Use option "4" for students who received an associate's degree or certificate from the grantee institution but did not transfer to a 4-year institution. Use option “5” for students who graduated with a first bachelor's degree or equivalent at the grantee institution. Use option “6” for students who are no longer enrolled at the grantee institution, that is, the student did not return to the grantee institution in the Fall 2014 term. These include all other transfers except students who transferred from a 2-year to a 4-year institution. Options 2, 3, and 4 only apply to 2-year institutions. Option 5 only applies to 4-year institutions.
II.E. Student Financial Assistance Fields #35 and #36 require annual updates and should be completed for current year participants and prior-year participants still enrolled.
35	Amount of Financial Aid Received	FinAidRecvd	Amount of financial aid received by the participant is: 00000 to 99999 (e.g. 05000 for $5,000) Leave this field blank for prior-year participants no longer enrolled. NOTE: Provide the dollar amount (whole dollars only) of the financial aid received of each participant as determined by the financial aid office. Do not include the amount of SSS Grant Aid awarded.
36	Amount of SSS Grant Aid Awarded	SSSGrantAid	Amount of grant aid awarded to the participant is: 00000 to 99999 (e.g. 05000 for $5,000) Leave this field blank for prior-year participants. NOTE: Provide the amount of SSS grant aid awarded (whole dollars only) for the academic year. For this reporting period, individual grant aid awards should not be less than the minimum Pell Grant award of $582 nor exceed the maximum Pell grant award of $5,645.
II.F. Additional Participant Information
37	Participant Name Change	PartNameChange	NOTE: If the participant changed his/her name and this information will ensure uniformity and accuracy in tracking/reporting the participant, please enter the participant’s full name (i.e., first and last name). If there is no change in the participant’s name as provided in fields 4 and 5, you may leave this field blank. Examples of how to enter a participant’s full name: John Doe, John D. Doe; Dr. John Doe; Jane Doe-John; John Doe II; John Doe, Jr., Note: The information in this field can be changed in subsequent reporting periods, as necessary.

(Note to Data Collector:  Please ensure that when you are collecting this information from students that they are informed of why they are being asked to provide their Social Security numbers.)

Privacy Act

In accordance with the Privacy Act of 1974 (Public Law No. 93-579, 5 U.S.C. 552a), you are hereby notified that the Department of Education is authorized to collect information to implement the Student Support Services Program under Title IV of the Higher Education Act of 1965, as amended (Pub. Law 102-325, Sec. 402D). In accordance with this authority, the Department receives and maintains personal information on participants in the Student Support Services program. The principal purpose for collecting this information is to administer the program, including tracking and evaluating participant progress. Providing the information on this form, including a social security number (SSN) is voluntary; failure to disclose a SSN will not result in the denial of any right, benefit or privilege to which the participant is entitled. The information that is collected on this form will be retained in the program files and may be released to other Department officials in the performance of their official duties.