Section 1—Executive Summary

The purpose of the legislation that established Title III-A, Sec. 317 is to “provide grants and related assistance to Alaska Native-serving institutions and Native Hawaiian-serving institutions to enable such institutions to improve and expand their capacity to serve Alaska Natives and Native Hawaiians.”

A.	Use this section to summarize how your grant is enabling your institution to fulfill the legislative intent of the Title III-A, Sec. 317 Program.

1.	Summarize, in 250 words or less, the impact your Title III-A, Sec. 317 grant has had this year in your institution’s capacity to contribute to fulfilling the goals of the legislation. 

2.	How has the grant helped to carry out the mission of the institution? 

3.	How did the cooperative arrangement aspect of the grant benefit the institutions involved?

B.	From the list below, select at least two questions that document your institution’s experience with the grant during this reporting period.  Please answer each question selected in 250 words or less. 

1.	If your institution has received more than one Title III-A, Sec. 317 grant over time, discuss the long-range impact Title III-A, Sec. 317 has had on your institution’s capacity to fulfill the goals of the legislation.

2.	If your institution has experienced any unexpected outcomes as a result of this grant, that affect for better or worse its capacity to fulfill the goals of the legislation, tell us about them here.

3.	
Tell us about any challenges that you have had during the reporting period or that you anticipate in the coming year which may affect your ability to meet the goals of your grant.  Include, if applicable, your institution’s plans to meet these challenges.

4.	Has the grant facilitated or contributed to bringing additional resources to your institution, for example, new Federal, State, or local dollars that can be attributed partly to your grant activities?

5.	How would you improve or change the Program (e.g., customer service, allowable activities, regulations, statute)?

Section 2: Enrollment by Race and Ethnicity (4-Year Institutions)
Please report undergraduate student enrollment as of October 15, 2004 and the number of those students who received Pell Grants. Because these data are taken from your IPEDS survey, please use the IPEDS definition of full-time student.  [Note: Obtain the information from Part A of your most recent IPEDS Fall Enrollment Survey.]
Enrollment by Race and Ethnicity as of October 15, 2004
Undergraduates	Total Number Enrolled	
	Full-time students	Full-time, First-time, First-year, Degree-seeking students	Students who received Pell Grants	
Nonresident alien				
Black, non-Hispanic				
American Indian or Alaskan Native				
Asian or Pacific Islander				
Hispanic				
White, non-Hispanic				
Race/ethnicity unknown				
Grand Total				

Section 2: Enrollment by Age and Gender (4-Year Institutions)
Please report the number of undergraduate students, by age and gender, enrolled as of the institution's official fall reporting date or as of October 15, 2004 [Note: the information for this table can be obtained from Part B of your IPEDS Enrollment Survey for the most recent year available]. Because these data are taken from your IPEDS survey, please use IPEDS definitions for full-time and part-time students.
Enrollment by Age and Gender as of October 15, 2004
Under-grads	Total Number Enrolled	Total Students	Grand Total	
	Full time	Part time			
Age/Gender	Male	Female	Male	Female	Male	Female		
Under 18								
18-19								
20-21								
22-24								
25-29								
30-34								
35-39								
40-49								
50-64								
65 and over								
Age Unknown								

Section 2: Degrees Awarded by Race, Ethnicity, and Discipline
Data for this section has been automatically uploaded for you.  Please review it and verify that it is accurate.  The information is for degrees conferred between July 1, 2004 and June 30, 2005 by race, ethnicity and discipline for students in undergraduate programs only.  The CIP (Classification of Instructional Programs) codes were used in designating students appropriately.
Degrees Awarded by Race, Ethnicity, and Discipline
	CIP Code	Nonresident alien	Black, non-Hispanic	American Indian or Alaskan Native	Asian or Pacific Islander	Hispanic	White, non-Hispanic	Race/ethnicity unknown	Total	
Biological Sciences/Life Sciences	26									
Computer & Information Sciences	11									
Health Profession & Related Sciences	51									
Business Management and Administrative Services	52									
Education	13									
Engineering	14									
Mathematics	27									
Physical Sciences	40									
Agricultural Sciences	02									
Social Sciences and History	45									
Visual and Performing Arts	50									
Other (please specify):
									
Total Race/Ethnicity									

Section 2: Accreditation
Who is your institution's primary accrediting agency? [Please check only one.]
___  Southern Association of Colleges and Schools
___  The Higher Learning Commission of the North Central Association
___  New England Association of Schools and Colleges
___  Middle States Association of Colleges and Schools
___  Western Association of Schools and Colleges
___  Northwest Association of Schools and Colleges
___  Other (please specify) ______________________________________

Section 3: Grant Activities and Focus Area
In this section, we want to get a sense of what types of activities Title III or V is supporting at your institution. We want to know how those activities are helping to address the problems described in your grant application, and how they are improving academic quality, student services and outcomes, institutional management, and fiscal stability.
To begin, enter the total amount of Title III or V funds used during this reporting period to support your project. On the second line, please enter the total amount of Title III or V funds used during this reporting period to support the project management and evaluation of the entire project. The fourth line will be automatically generated to reflect the total costs dedicated to supporting grant activities. These fields must be filled in and greater than 0 before proceeding.
Enter total federal dollars spent on your Title III or Title V grant during the reporting period: 		
 	
Enter total federal dollars spent on your Title III or Title V project management and evaluation during the reporting period: 		
 	
Enter the total number of Activities carried out during the reporting period 
(as described in your grant proposal) 		
 	
Total federal dollars spent on your Title III or Title V activities during the reporting period: 	$00,000.00	

You will have the opportunity to enter or edit additional grant application activities as necessary throughout this section.
•	Activity 1
•	Activity 2
•	Activity 3

Section 3: Grant Activities and Focus Area
In this section, we want to get a sense of what types of activities Title III or V is supporting at your institution.  We want to know how those activities are helping to address the problems described in your grant application, and how they are improving academic quality, student services and outcomes, institutional management, and fiscal stability

Line 1:  Enter the title of the grant activity(ies) as related in your application and carried out during this reporting period.  Please note that for the purposes of the annual report, endowment should be considered a separate activity even if it was not presented as a separate activity in your application.  You will have the opportunity to enter additional grant application activities as necessary

Line 2:  Enter the total amount of Title III or V funds used during this reporting period to support each grant activity.  This total amount should include any costs associated with the management of the activity such as the appropriate percentage of key personnel salaries and benefits devoted to that activity.

Line 3:  Select one of four focus areas Fiscal Stability, Institutional Management, Student Services and Outcomes, and Academic Quality for each activity.  Refer to the definitions of the four focus areas for samples of activities that fall into each category.  [The answer to this question will determine which Focus Area Outcomes table(s) that is filled out.]

Please keep in mind that these categories are meant to apply to the activity's overall outcome not the processes used to achieve that outcome.  For example, you might have an activity to improve retention of science majors that is being carried out over the entire length of your grant.  The ultimate outcome of this activity is a Student outcome and therefore would be categorized as "Student Services and Outcomes" even though you might have implemented various strategies or processes to achieve that goal during the reporting period, such as improved library collections, acquisition of teaching/lab equipment, and faculty development.  You will have an opportunity to report on those processes later on in the process measure table.

Legislative Allowable Activities Table: In this table, we want to develop a profile of how program funds are distributed within the various Legislative Allowable Activities (LAA) categories.  Please determine how much of the total funds used for the grant activity (Line 2) is distributed within the LAA categories and enter the dollar amount.  Please note that you may have an activity that does not fall into one of the LAA categories - this is acceptable as long as that activity fulfills the goals of the legislation.  In these cases you will be asked to provide a brief description of those activities in the "other" option.  NOTE:  The dollar amount entered in Line 2 for each grant activity should equal the sum of the dollar amounts distributed in the LAA categories.

Grant activity carried out during this reporting period in your grant application:
__________________________________________________________________
Total $ spent on this activity during the current reporting period:  _____________
Focus area: 	____ Academic Quality	____ Student Services and Outcomes
	____ Fiscal Stability	____ Institutional Management
LAA Category
[Note: All listed activities are directly from legislation.]	Dollars spent	% of Activity	
Purchase, rental, or lease of scientific or laboratory equipment for educational purposes, including instructional and research purposes.			
Renovation and improvement in classrooms, libraries, laboratories, and other instructional facilities.			
Support of faculty exchanges, faculty development, and faculty fellowships to assist in attaining advanced degrees in the field of instruction of the faculty.			
Curriculum development and academic instruction.			
Purchase of library books, periodicals, and other educational materials.			
Funds management, administrative management, and acquisition of equipment for use in strengthening funds management.			
Joint use of facilities, such as laboratories and libraries.			
Academic tutoring and counseling programs and student support services.			
OTHER ACTIVITIES--PLEASE DESCRIBE IN SIMILAR DETAIL
			
GRAND TOTAL			

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Purchase, rental, or lease of scientific or laboratory equipment for educational purposes, including instructional and research purposes.

Did the amount of scientific or laboratory educational equipment rented or leased increase?		
   If yes:	Start $ spent on equipment  ________
	End $ spent on equipment  ________
	Application objective  ________		

Did the quality of scientific or laboratory educational equipment rented or leased increase?		
   No standardized data elements		

Did student access to scientific or laboratory educational equipment rented or leased increase?		
   If yes:	Start # of students  ________
	End # of students  ________
	Application objective  ________		

Did the amount of scientific or laboratory educational equipment purchased increase?		
   If yes:	Start $ spent on equipment  ________
	End $ spent on equipment  ________
	Application objective  ________		

Did the quality of scientific or laboratory educational equipment purchased increase?		
   No standardized data elements		

Did student access to scientific or laboratory educational equipment purchased increase?		
   If yes:	Start # of students  ________
	End # of students  ________
	Application objective  ________		

Did the amount of scientific or laboratory research equipment rented or leased increase?		
   If yes:	Start $spent on equipment  ________
	End $ spent on equipment  ________
	Application objective  ________		

Did the quality of scientific or laboratory research equipment rented or leased increase?		
   No standardized data elements		

Did student access to scientific or laboratory research equipment rented or leased increase?		
   If yes:	Start # of students  ________
	End # of students  ________
	Application objective  ________		

Did the amount of scientific or laboratory research equipment purchased increase?		
   If yes:	Start $ spent on equipment  ________
	End $ spent on equipment  ________
	Application objective  ________		

Did the quality of scientific or laboratory research equipment purchased increase?		
   No standardized data elements		

Did student access to scientific or laboratory research equipment purchase increase?		
   If yes:	Start # of students  ________
	End # of students  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Renovation and improvement in classrooms, libraries, laboratories, and other instructional facilities.

Did the number of classrooms constructed increase?		
   If yes:	Start # of wired classrooms  ________
	End # of wired classrooms  ________
	Application objective  ________		

Did the square feet of library space constructed increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of laboratories constructed increase?		
   If yes:	Start # labs  ________
	End # labs  ________
	Application objective  ________		

Did the square feet of other institutional space constructed increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of classrooms maintained increase?		
   If yes:	Start # wired classrooms  ________
	End # wired classrooms  ________
	Application objective  ________		

Did the square feet of library space maintained increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of laboratories maintained increase?		
   If yes:	Start # labs  ________
	End # labs  ________
	Application objective  ________		

Did the square feet of other institutional space maintained increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of classrooms renovated or improved increase?		
   If yes:	Start # wired classrooms  ________
	End # wired classrooms  ________
	Application objective  ________		

Did the square feet of library space renovated or improved increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of laboratories renovated or improved increase?		
   If yes:	Start # labs  ________
	End # labs  ________
	Application objective  ________		

Did the square feet of other institutional space renovated or improved increase?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Did the number of classrooms wired for the internet increase?		
   If yes:	Start # wired classrooms  ________
	End # wired classrooms  ________
	Application objective  ________		

Did the number of access terminals to library databases and records increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the amount of instructional facilities with deferred maintenance needs decrease?		
   If yes:	Start total square feet  ________
	End total square feet  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Support of faculty exchanges, faculty development, and faculty fellowships to assist in attaining advanced degrees in the field of instruction of the faculty.

Did the number of faculty trained in educational technology increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty trained in new or alternative teaching techniques increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty developing new curriculum increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty developing new teaching techniques increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty receiving fellowships or other assistance to attain advanced degrees increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty with advanced degrees increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty participating in faculty exchanges increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Did the number of faculty participating in developmental activities (seminars, workshops, etc.) increase?		
   If yes:	Start # of faculty  ________
	End # of faculty  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Curriculum development and academic instruction.

Did the number of new academic programs increase?		
   If yes:	Start # of academic programs  ________
	End # of academic programs  ________
	Application objective  ________		

Did the number of academic courses under development increase?		
   If yes:	Start # of academic programs  ________
	End # of academic programs  ________
	Application objective  ________		

Did the number of academic courses undergoing revision increase?		
   If yes:	Start # of courses  ________
	End # of courses  ________
	Application objective  ________		

Did the academic attainment of students in revised courses increase?		
   If yes:	Methodology used (check all that apply):
	___ Teacher survey
	___ Test scores
	___ Class observation		

Did the course completion rate of students in revised courses increase?		
   If yes:	Start % completion rate  ________
	End % completion rate  ________
	Application objective  ________		

Did the course satisfaction rate of students in revised courses increase?		
   If yes:	Start % satisfaction  ________
	End % satisfaction  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Purchase of library books, periodicals, and other educational materials, including telecommunications program material.

Did the number of library books increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of periodical subscriptions increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of educational materials increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of telecommunications program materials increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Funds management, administrative management, and acquisition of equipment for use in strengthening funds management.

Was the number of FTE hired for improvement of funds management increased?		
   If yes:	Start FTE  ________
	End FTE  ________
	Application objective  ________		

Were relevant staff trained in how to use new funds management systems?		
   If yes:	Start # trained staff  ________
	End # trained staff  ________
	Application objective  ________		

Were the number of FTE hired for improvement of administrative management systems increased?		
   If yes:	Start FTE  ________
	End FTE  ________
	Application objective  ________		

Were relevant staff trained in how to use new administrative management systems?		
   If yes:	Start FTE trained  ________
	End FTE trained  ________
	Application objective  ________		

Did you establish or enhance a funds management quality control system?		
   No standardized data elements		

Did you establish or enhance a purchasing and inventory management system?		
   No standardized data elements		

Did you establish or enhance a student financial aid system?		
   No standardized data elements		

Did you establish or enhance an institutional research system?		
   No standardized data elements		

Did you establish or enhance an admissions or registration system?		
   No standardized data elements		

Did you establish or enhance a student tracking system?		
   No standardized data elements		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Joint use of facilities, such as laboratories and libraries.

Was there an increase in the quality and utility of facilities available?		
   No standardized data elements		

Was there an increase in available joint library services?		
   No standardized data elements		

Was there an increase in access (increased hours, access to more educational materials) to joint facilities for students)?		
   No standardized data elements		

Were the number of students using joint laboratories increased?		
   If yes:	Start # of students  ________
	End # of students  ________
	Application objective  ________		

Was there an increase in access (increased hours, access to more education materials) to joint facilities for faculty?		
   No standardized data elements		

Was there an increase in available joint library space?		
   If yes:	Start square feet  ________
	End square feet  ________
	Application objective  ________		

Was there an increase in available joint library holdings?		
   If yes:	Start # holdings  ________
	End # holdings  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Tutoring, counseling, and student service programs designed to improve academic success.

Did the number of tutors increase?		
   No standardized data elements		

Did the quality of tutors increase?		
   No standardized data elements		

Did access to tutors increase?		
   No standardized data elements		

Did the number of counselors increase?		
   No standardized data elements		

Did the number of students using tutoring services increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of students using counseling services increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of students satisfied with tutoring services increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the number of students satisfied with counseling services increase?		
   If yes:	Start #  ________
	End #  ________
	Application objective  ________		

Did the academic attainment of students using tutoring services increase?		
   If yes:	Methodology used (check all that apply):
	___ Teacher survey
	___ Test scores
	___ Class observation		

Did the course completion rate of students using tutoring services increase?		
   If yes:	Start % completion rate  ________
	End % completion rate  ________
	Application objective  ________		

Did the course completion rate of students using counseling services increase?		
   If yes:	Start % completion rate  ________
	End % completion rate  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Process Measures
Please complete the following table to let us know what you have accomplished during the past year in this LAA category for this Activity.

LAA Category  Other: 

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Application objective  ________		

Section 3: Focus Area Outcomes – Academic Quality
The following are institutional outcomes that can be categorized in the Academic Quality focus area.  Please provide information on at least two of the measures that you feel are most reflective of your activities supported by Title III/V funds for the current reporting period. You have the option of entering your own unique outcome goals in the area marked “Other.”

You should indicate whether you achieved the related outcome during this reporting period.  Remember, you are only required to select at least two outcomes.  Many grantees might be in their first grant year and unable to report on any outcomes.  If this is the case, you should indicate which goals you will report on next year.

In some instances, it might be necessary to provide a statement that supports your response.  (Your supporting statement should be limited to 2 to 3 sentences.)

Row below each item: If you indicate that you have achieved a certain goal, please provide supporting data elements: the initial data point related to the outcome goal, the final data point related to the outcome goal, and the actual outcome goal at stated in your grant application.  Note that certain intangible goals will require you to select an appropriate "rating" (e.g., poor, fair, good, excellent).

Has the number of new academic programs increased?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of specialized accreditations increased?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has retention of full time tenure track faculty improved?		
   If yes:	Initial average annual retention rate  ________
	Final average annual retention rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has recruitment of faculty for full time tenure track positions improved?		
   If yes:	Initial recruitment time  ________
	Final recruitment time  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s library holdings increased?		
   If yes:	Initial # of holdings  ________
	Final # of holdings  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s education technology infrastructure improved?		
   If yes:	Initial:  __ poor   __ fair   __ good   __ excellent
	Final  __ poor   __ fair   __ good   __ excellent
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the quality of the institution’s classroom space improved?		
   If yes:	Initial:  __ poor   __ fair   __ good   __ excellent
	Final  __ poor   __ fair   __ good   __ excellent
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the quantity of the institution’s classroom space improved?		
   If yes:	Initial square feet  ________
	Final square feet  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of non-traditional students increased?		
   If yes:	Initial enrollment  ________
	Final enrollment  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of part time students increased?		
   If yes:	Initial enrollment  ________
	Final enrollment  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of minority students increased?		
   If yes:	Initial enrollment  ________
	Final enrollment  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of rural students increased?		
   If yes:	Initial enrollment  ________
	Final enrollment  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of low-income students increased?		
   If yes:	Initial enrollment  ________
	Final enrollment  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the completion rate of non-traditional students increased?		
   If yes:	Initial completion rate  ________
	Final completion rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the completion rate of part time students increased?		
   If yes:	Initial completion rate  ________
	Final completion rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the completion rate of minority students increased?		
   If yes:	Initial completion rate  ________
	Final completion rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the completion rate of rural students increased?		
   If yes:	Initial completion rate  ________
	Final completion rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the completion rate of low-income students increased?		
   If yes:	Initial completion rate  ________
	Final completion rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Section 3: Focus Area Outcomes – Fiscal Stability
The following are institutional outcomes that can be categorized in the Fiscal Stability focus area.  Please provide information on at least two of the measures that you feel are most reflective of your activities supported by Title III/V funds for the current reporting period. You have the option of entering your own unique outcome goals in the area marked “Other.”

You should indicate whether you achieved the related outcome during this reporting period.  Remember, you are only required to select at least two outcomes.  Many grantees might be in their first grant year and unable to report on any outcomes.  If this is the case, you should indicate which goals you will report on next year.

In some instances, it might be necessary to provide a statement that supports your response.  (Your supporting statement should be limited to 2 to 3 sentences.)

Row below each item: If you indicate that you have achieved a certain goal, please provide supporting data elements: the initial data point related to the outcome goal, the final data point related to the outcome goal, and the actual outcome goal at stated in your grant application.  Note that certain intangible goals will require you to select an appropriate "rating" (e.g., poor, fair, good, excellent).

Has the institution’s net assets increased?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s net income increased?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s endowment increased?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has state institutional financial support increased?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has private institutional financial support increased?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of private sector donors increased?		
   If yes:	Start #  ________
	End #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Was there a reduction in the amount of institutional borrowing?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Have grant activities been taken over financially by the institution?		
   If yes:	Start $  ________
	End $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Start  ________
	End  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Section 3: Focus Area Outcomes – Institutional Management
The following are institutional outcomes that can be categorized in the Institutional Management focus area.  Please provide information on at least two of the measures that you feel are most reflective of your activities supported by Title III/V funds for the current reporting period. You have the option of entering your own unique outcome goals in the area marked “Other.”

You should indicate whether you achieved the related outcome during this reporting period.  Remember, you are only required to select at least two outcomes.  Many grantees might be in their first grant year and unable to report on any outcomes.  If this is the case, you should indicate which goals you will report on next year.

In some instances, it might be necessary to provide a statement that supports your response.  (Your supporting statement should be limited to 2 to 3 sentences.)

Row below each item: If you indicate that you have achieved a certain goal, please provide supporting data elements: the initial data point related to the outcome goal, the final data point related to the outcome goal, and the actual outcome goal at stated in your grant application.  Note that certain intangible goals will require you to select an appropriate "rating" (e.g., poor, fair, good, excellent).

Has the number of specialized accreditations improved?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s information management infrastructure improved?		
   If yes:	Initial $ of infrastructure  ________
	Final $ of infrastructure  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s information management capabilities improved?		
   If yes:	Initial  ___ poor   ___ fair   ___ good   ___ excellent
	Final  ___ poor   ___ fair   ___ good   ___ excellent
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s conformance with external standards improved?		
   If yes:	___ accrediting agency   ___ federal   ___ state   ___ other
		
I would like to provide a brief supporting statement:

		

Has the institution’s deferred maintenance needs decreased?		
   If yes:	Initial $  ________
	Final $  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s teaching classroom space increased?		
   If yes:	Initial square feet  ________
	Final square feet  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s research facilities space increased?		
   If yes:	Initial square feet  ________
	Final square feet  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s library space increased?		
   If yes:	Initial square feet  ________
	Final square feet  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the institution’s teaching laboratory space increased?		
   If yes:	Initial square feet  ________
	Final square feet  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Have outreach programs to increase enrollment of secondary school students been established?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the enrollment of the outreach targeted secondary students increased?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Have outreach programs to increase the academic attainment of secondary school students been established?		
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the academic attainment of the outreach targeted secondary students increased?		
   If yes:	Methodology:
	___ Teacher survey
	___ Test scores
	___ Admission rate		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Section 3: Focus Area Outcomes – Student Services and Outcomes
The following are institutional outcomes that can be categorized in the Student Services and Outcomes focus area.  Please provide information on at least two of the measures that you feel are most reflective of your activities supported by Title III/V funds for the current reporting period. You have the option of entering your own unique outcome goals in the area marked “Other.”

You should indicate whether you achieved the related outcome during this reporting period.  Remember, you are only required to select at least two outcomes.  Many grantees might be in their first grant year and unable to report on any outcomes.  If this is the case, you should indicate which goals you will report on next year.  If applicable, you have the option of defining the cohort of students for which this outcome is being measured.  Among other things, your cohort might be based on your academic year, a sub-population of students (e.g., students with deficiencies in basic skills), or another point in time.  Please be concise in this area.

In some instances, it might be necessary to provide a statement that supports your response.  (Your supporting statement should be limited to 2 to 3 sentences.)

Row below each item: If you indicate that you have achieved a certain goal, please provide supporting data elements: the initial data point related to the outcome goal, the final data point related to the outcome goal, and the actual outcome goal at stated in your grant application.  Note that certain intangible goals will require you to select an appropriate "rating" (e.g., poor, fair, good, excellent).

Has the institution’s retention rate improved?		
Cohort: _____________________________________________________
   If yes:	Initial rate  ________
	Final rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average number of credits completed by students improved?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average GPA of students improved?		
Cohort: _____________________________________________________
   If yes:	Initial GPA  ________
	Final GPA  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of students continuing to further postsecondary education improved?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the retention rate of students who received academic counseling increased?		
Cohort: _____________________________________________________
   If yes:	Initial rate  ________
	Final rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the retention rate of students who received tutoring services increased?		
Cohort: _____________________________________________________
   If yes:	Initial rate  ________
	Final rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the retention rate of students who participated in other student services programs increased?		
Cohort: _____________________________________________________
   If yes:	Initial rate  ________
	Final rate  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average number of credits completed by students who received academic counseling increased?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average number of credits completed by students who received tutoring services increased?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average number of credits completed by students who participated in other student services increased?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average GPA of students who received academic counseling increased?		
Cohort: _____________________________________________________
   If yes:	Initial GPA  ________
	Final GPA  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average GPA of students who received tutoring increased?		
Cohort: _____________________________________________________
   If yes:	Initial GPA  ________
	Final GPA  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the average GPA of students who participated in other student services programs increased?		
Cohort: _____________________________________________________
   If yes:	Initial GPA  ________
	Final GPA  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of students continuing to further postsecondary education that received academic counseling increased?		
Cohort: _____________________________________________________
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of students continuing to further postsecondary education who received tutoring increased?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Has the number of students continuing to further postsecondary education who participated in other student services increased?		
Cohort: _____________________________________________________
   If yes:	Initial #  ________
	Final #  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
Cohort: _____________________________________________________
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Other: ______________________________________________________		
Cohort: _____________________________________________________
   If yes:	Initial  ________
	Final  ________
	Goal  ________		
I would like to provide a brief supporting statement:

		

Section 4: Project Status
Continued funding requires evidence of substantial progress towards meeting your activity objectives.  From your application, please list your objectives for each activity carried out this reporting period.
Activity: ________________________________________________________________
On Schedule Activity Objectives:

Section 4: Project Status
Activity: ________________________________________________________________
Narrative Supporting Completed Objectives 
Please provide brief statements, with data and references to goals stated in your application as appropriate, to document the objectives that were “completed” during the reporting period.
Activity Objective	Evidence of Completion	

Section 4: Project Status
Activity: ________________________________________________________________
Changes to Objective Schedule
Please provide brief statements, with data and references to goals stated in your application as appropriate, to support and explain the need for objective schedule changes.
Activity Objective	Reason(s) for change	Expected completion date	

Section 4: Project Status
Activity: ________________________________________________________________
Changes to Activity Objectives
Please provide brief statements, with data and references to goals stated in your application as appropriate, to support and explain the need for the changes of objectives during the reporting period.
Activity Objective	Proposed objective
 change	Reason(s) for change	Has this change been approved by the ED Program office?	

Section 4: Budget 
Column 1	Column 2	Column 3	Column 4	Column 5	Column 6	Column 7	Column 8	
Budget Categories	Carryover Balance from Previous FY	Actual Budget	Expendi-tures	Non-Federal Expendi-tures	Carryover Balance	Next Year’s Actual Budget	Changes? Y/N	
Personnel								
Fringe Benefits ___%								
Travel								
Equipment								
Supplies								
Contractual								
Construction								
Other								
Endowment								
Total Costs								

Section 4: Line Item Budget Narrative
Please describe how funds will be expended as a result of your changes in each of the line item categories.  
Personnel

Fringe Benefits

Travel

Equipment

Supplies

Contractual

Construction

Other

Endowment

Section 4: Summary Budget Narrative
Please explain budget changes, as needed, particularly the use of funds from cost savings, carryover funds and other expanded authorities changes to your budget.  Provide an explanation if you are NOT expending funds at the expected rate.  Describe any significant changes to your budget resulting from modifications of project activities.