CAMP Performance Report Data Form

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Overview

Note
Block A
Block B
Block C
Block D
Block E & F

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Sheet 1: Note

	Sections of Annual Performance Report						Color Coding
	Sections	Type	Reporting File	Submitted As	Submitted To		Highlighted Color	Interpretation
	Cover Sheet	Text/Signature	MS Word	PDF	Please send FINAL versions of ALL these sections (2 files in total) as attachments to OME in ONE email		Blue	Enter Numerical
	Block A	Numerical	MS Excel	MS Excel			Yellow	Check Box
	Block B	Numerical	MS Excel	MS Excel			Green	Enter Text
	Block C	Numerical	MS Excel	MS Excel
	Block D	Numerical/Text	MS Excel	MS Excel
	Block E	Numerical/Text	MS Excel	MS Excel
	Block F	Numerical/Text	MS Excel	MS Excel

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Sheet 2: Block A

Project Name:

Write Here

Grant Year:

PR Number:

Write Here

Reporting Period:

College Assistance Migrant Program

U.S. Department of Education

Annual Performance Report and Final Performance Report

Data Form

A.

CAMP Project Statistics and Reporting for GPRA

A1

Number of students served during this reporting period.

Y1

Y2

Y3

Y4

Y5

a.

Number funded to be served

b.

Number served in college courses (Note: A1b1 + A1b2 should sum to equal A1b)

1

Number served who were new participants (first academic year in CAMP) (subset of A1b)

0

0

0

0

0

2

Number served who were returning participants (not first academic year in CAMP) (subset of A1b)

A2

Status at the end of the reporting period.

Y1

Y2

Y3

Y4

Y5

(Note: A2a-c should sum to equal the number reported in A1b.)

a.

Number of CAMP first academic year completers.(Obj. 1 National Target: 86%) (GPRA 1)

*Supporting documentation required. See instructions for Item A2.

b.

Number of withdrawals

c.

Number of persisters (coming back to continue in the subsequent budget period; persisters

were enrolled in instructional services in the reporting period reported but did not yet complete

their first academic year of college and have returned in the subsequent budget period to

continue instructional services).

Your data input accuracy result

Good Job

Good Job

Good Job

Good Job

Good Job

A3

Status of CAMP first academic year completers from question A2a above at the end of

Y1

Y2

Y3

Y4

Y5

reporting period.

a.

Unduplicated number of CAMP first academic year completers who continued in postsecondary

education programs. (This amount should not be greater than the amount in A2a above.)

(Obj. 2 National Target: 88%) (GPRA 2)

A4

Number of CAMP first academic year completers during this reporting period whom

Y1

Y2

Y3

Y4

Y5

you were able to track for follow-up data.

A5

Number of your former CAMP students who graduated from college with Bachelor’s Degree

Y1

Y2

Y3

Y4

Y5

during this reporting period.

a.

For 2-Year IHEs: Number of your former CAMP students who graduated from college with Bachelor's

Degree during this reporting period (only 2-Year IHE projects report in A5a).

b.

For 4-Year IHEs: Number of your former CAMP students who graduated from college with Bachelor's

Degree during this reporting period (only 4-Year IHE projects report in A5b).

A6

Number of your former CAMP students who graduated from college with Associate’s Degree

Y1

Y2

Y3

Y4

Y5

this reporting period.

A7

Number of your former CAMP students who transferred to other IHEs during this reporting

Y1

Y2

Y3

Y4

Y5

period.

A8

Time to completion for CAMP first academic year completers from question A2a above.

Y1

Y2

Y3

Y4

Y5

(Note: A8a-c should sum to equal the number reported in A2a).

a.

Number of CAMP first academic year completers during this reporting period who

completed their first academic year of college within one reporting period of your project.

b.

Number of CAMP first academic year completers during this reporting period who completed one

year of college after more than one reporting period, but within two reporting periods of your project.

c.

Number of CAMP first academic year completers during this reporting period who completed

one year of college after more than two reporting periods of your project.

Your data input accuracy result

Good Job

Good Job

Good Job

Good Job

Good Job

A9

Performance Calculation Table

Current Year

Annual Award Amount

GPRA Measure 1

0.00%

0.00%

0.00%

0.00%

0.00%

GPRA Measure 2

0.00%

0.00%

0.00%

0.00%

0.00%

Success efficiency ratio

$0.00

$0.00

$0.00

$0.00

$0.00

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Sheet 3: Block B

Project Name:

Write Here

Grant Year:

PR Number:

Write Here

Reporting Period:

B.

CAMP Project Student Participant Information

B1

Supportive & Instructional Services and Financial Services provided only by CAMP

Y1

Y2

Y3

Y4

Y5

funds and received by CAMP-enrolled students during the reporting period. This count

does not include other services provided to CAMP students by the university or

another entity.

a.

Count the total number of CAMP students served with the following types of

supportive & instructional services. Students may appear in more than one row if

they received more than one service. (Calculation of total hours received, etc. are not

necessary).

1

Counseling or guidance services to CAMP students (personal, academic, and career

services provided in support of school-life balance and other psycho-social aspects of college

completion).

2

Tutoring (additional instructional services provided in support of a specific curriculum,

course, or course of study).

3

Other (supportive or instructional services, including health services, assistance with special admissions, or other services as necessary to assist students in completing program requirements). _____________________________________

b.

Count the total number of CAMP students served with the following types of financial

services. Please indicate the number of students receiving financial support services.

Students may appear in more than one row if they received more than one service.

1

Stipends.

2

Room and Board.

3

Other "Financial Services"_including scholarships, transportation, career-oriented work study, books and supplies, and tuition and fees. _____________________________________

B2

Characteristics of the CAMP enrolled students during this reporting period.

Y1

Y2

Y3

Y4

Y5

(Note: [B2a and B2b] and [B2c and B2d] should sum to equal the number reported in A1b

(no. served)).

a.

Number of students who were referred from MEP and accepted into CAMP.

b.

Number of students who were referred from HEP and accepted into CAMP.

c.

Number of students who were referred from NFJP and accepted into CAMP.

d.

Number of students who were referred from any other program and accepted into CAMP.

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Sheet 4: Block C

	Project Name:	Write Here				Grant Year:
	PR Number:	Write Here				Reporting Period:
C.	CAMP Project Services Information
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.	Is this project in a four-year or two-year institution?
d.	Is the project in an institution that uses a semester, quarter, or trimester academic calendar?
C2.	Test Information Collected during the Reporting Period
a.	Does your project’s IHE use SAT scores during the intake process?
1	What is the average score for all first-year IHE students?
									Math
2	What is the average score for CAMP students?								English
									Math
b.	Does your project’s IHE use ACT scores during the intake process?
1	What is the average score for all first-year IHE students?
									Math
2	What is the average score for CAMP students?								English
									Math

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Sheet 5: Block D

Project Name:

Write Here

Grant Year:

PR Number:

Write Here

Reporting Period:

D.

CAMP Project Goals and Objectives

Project Performnce Objective Information

Section 1. Provide the Project Objective, performance measure (Target and Actual Performance Data) and explain the outcome (Include Qualitative Data, Data resulting from experimental Design, and Data Collection Information) (maximum 2500 words)

Please insert the row in each green box, if you need more space.

Section 2: 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. 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 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.

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Sheet 6: Block E & F

	Project Name:	Write Here				Grant Year:
	PR Number:	Write Here				Reporting Period:
E.	CAMP Project Budget Information (see instructions)
E	Report section E in the following Table and in the space below
Report in column (a) carryover funds in their correct category amounts from the previous budget period,
in column (b) the recommended funds, by budget category, for the current budget period,
in column (c), the total revised budget amounts (using your approved, revised budget as in your ED524 Form),
and by adding the previous year's carryover in column (a) with the recommended amount in column (b), in each budget category,
and in column (d), your project’s actual expenditures for this reporting period.
Budget Categories				Proposed Expenditures			Actual Expenditures
				(a) Carryover from Previous Budget Period	(b) Recommended Amount	(c) Total Approved, Revised Budget Amounts	(d) Actual Expenditure Amounts
1	Personnel					$0.00
2	Fringe Benefit					$0.00
3	Travel					$0.00
4	Equipment					$0.00
5	Supplies					$0.00
6	Contractual					$0.00
7	Construction					$0.00
8	Other					$0.00
9	Total Direct Costs (lines 1-8)			$0.00	$0.00	$0.00	$0.00
	Your data input accuracy result						Good Job
10	Indirect Costs					$0.00
	Your data input accuracy result						Good Job
11	Training Stipends					$0.00
12	Total Amounts (lines 9-11)			$0.00	$0.00	$0.00	$0.00
Your data input accuracy result					Good Job		Good Job
	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 column.
1)	Provide an explanation if you did not expend funds at the expected rate during the reporting period.
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. See Section F of the APR Instructions for details on the type of information you may provide below.