student enrollment forms enrollment of cte … gov't & pub. admin. health science...

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Amended Performance Data Date of Filing Amended Data: _______________________ Number of Adult Students Number of Secondary Tech Prep Students 1 GRAND TOTAL 2 3 Male 4 Female 5 6 American Indian or Alaskan Native 7 Asian or Pacific Islander 8 Black (not Hispanic) 9 Hispanic 10 White 11 Unknown 12 13 American Indian or Alaska Native 14 Asian 15 Black or African American 16 Hispanic/Latino 17 Native Hawaiian or Other Pacific Islander 18 White 19 Two or More Races 20 Unknown (Postsecondary Only) 21 22 Individuals With Disabilities (ADA) 23 Disability Status (ESEA/IDEA) (Secondary Only) 24 Economically Disadvantaged 25 Single Parents 26 Displaced Homemakers 27 Limited English Proficient 28 Migrant Status 29 Nontraditional Enrollees Number of Postsecondary Tech Prep Students SPECIAL POPULATION AND OTHER STUDENT CATEGORIES RACE/ETHNICITY* (1977 Standards) GENDER RACE/ETHNICITY* (1997 Revised Standards) Student Enrollment Forms PROGRAM YEAR STATE ENROLLMENT OF CTE PARTICIPANTS Line Population Number of Postsecondary Students Number of Secondary Students *See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories. Additional Information: Table 1 of 2

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Amended Performance Data Date of Filing Amended Data: _______________________

Number of Adult Students

Number of Secondary Tech Prep Students

1 GRAND TOTAL 23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown (Postsecondary Only)2122 Individuals With Disabilities (ADA)23 Disability Status (ESEA/IDEA) (Secondary Only)24 Economically Disadvantaged25 Single Parents26 Displaced Homemakers27 Limited English Proficient28 Migrant Status29 Nontraditional Enrollees

Number of Postsecondary

Tech Prep Students

SPECIAL POPULATION AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1977 Standards)

GENDER

RACE/ETHNICITY* (1997 Revised Standards)

Student Enrollment Forms

PROGRAM YEARSTATE

ENROLLMENT OF CTE PARTICIPANTS

Line PopulationNumber of

Postsecondary Students

Number of Secondary Students

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Additional Information:

Table 1 of 2

Amended Performance Data Date of Filing Amended Data: _______________________

Agri. Food & Nat. Resources

Architecture & Const.

Arts, A/V Tech. & Comm.

Bus., Mgt. & Admin.

Education & Training

Finance Gov't & Pub. Admin.

Health Science

Hospitality & Tourism

Human Services

Info. Tech. Law, Pub. Safety & Security

Manufac. Mkt. Sales & Serv.

Sci., Tech, Engin. &

Math.

Transp., Distrib. & Logistics

12 Female3 Male4 Total56 Female7 Male8 Total910 Female11 Male12 Total

13GRAND TOTAL (Lines 4+8+12)

Student Enrollment FormsENROLLMENT OF CTE CONCENTRATORS

STATE

Additional Information:

POSTSECONDARY

ADULT

PROGRAM YEAR

SECONDARY

Line Population

Table 2 of 2

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTALPre-populated from

the FAUPL23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaii or Other Pacific Islander18 White 19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep

Additional Information:

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Line Population

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Number of Students in the Denominator

Number of Students in the

Numerator

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of AdjustedLevel of

Performance (Y,N)

RACE/ETHNICITY* (1977 Standards)

GENDER

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

1S1: ATTAINMENT OF ACADEMIC SKILLS - READING/LANGUAGE ARTS

STATEPROGRAM YEAR

Table 1 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTALPre-populated from

the FAUPL2 GENDER3 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian or Pacific Islander15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White 19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

1S2: ATTAINMENT OF ACADEMIC SKILLS - MATHEMATICS

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of Performance (Y,N)

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Additional Information:

Table 2 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

2S1: TECHNICAL SKILL ATTAINMENT

STATEPROGRAM YEAR

Line PopulationMet 90% of Adjusted

Level of Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Number of Students in the Denominator

Number of Students in the

Numerator

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Additional Information:

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

GENDER

Table 3 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaii or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep3031 General Education Development (GED)32 Diploma33 Certificate

Number of Students in the

Numerator

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

3S1: SCHOOL COMPLETION

STATEPROGRAM YEAR

SUBINDICATORS

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Line PopulationMet 90% of Adjusted Level of Performance

(Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Number of Students in the Denominator

Additional Information:

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Table 4 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaii or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

4S1: STUDENT GRADUATION RATES

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Denominator

Number of Students in the

Numerator

*See "Definition of Terms" for guidance with reoprting the Race and Ethnicity Categories.

Additional Information:

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Met 90% of Adjusted Level of

Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

GENDER

RACE/ETHNICITY* (1977 Standards)

Table 5 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic

10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Nontraditional Enrollees29 Tech Prep3031 Advanced Training32 Employment33 Military34 Postsecondary Education

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

5S1: PLACEMENT

STATEPROGRAM YEAR

SUBINDICATORS

Line PopulationMet 90% of

Adjusted Level of Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Number of Students in the Denominator

Number of Students in the

Numerator

*See "Definition of Terms" for guidance with reporting the Race and Ethnicity Categories.

Additional Information:

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Table 6 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male4 Female56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown (For Postsecondary Only)1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Tech Prep

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

6S1: NONTRADITIONAL PARTICIPATION

STATEPROGRAM YEAR

Line PopulationMet 90% of Adjusted

Level of Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Number of Students in the Denominator

Number of Students in the

Numerator

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Additional Information:

GENDER

RACE/ETHNICITY* (1977 Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1997 Revised Standards)

Table 7 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races2021 Individuals With Disabilities (ADA)22 Disability Status (ESEA/IDEA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Migrant Students28 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) SECONDARY LEVEL

6S2: NONTRADITIONAL COMPLETION

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Additional Information:

Table 8 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Met 90% of Adjusted Level of

Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

1P1: TECHNICAL SKILL ATTAINMENT

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Denominator

Number of Students in the

Numerator

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Additional Information:

Table 9 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2930 Credential31 Certificate32 Degree

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

2P1: CREDENTIAL, CERTIFICATE, OR DEGREE

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

GENDER

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1977 Standards)

SUBINDICATORS

Additional Information:

Table 10 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2030 Retention31 Transfer

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

3P1: STUDENT RETENTION OR TRANSFER

STATEPROGRAM YEAR

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)Line Population

Number of Students in the

Numerator

Number of Students in the Denominator

Additional Information:

SUBINDICATORS

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

GENDER

Table 11 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged4 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2930 Apprenticeship31 Employment32 Military33 Retention

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

SUBINDICATORS

Actual Level of Performance

GENDER

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

4P1: STUDENT PLACEMENT

STATEPROGRAM YEAR

Line Population

Additional Information:

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

STUDENT CATEGORIES

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

State Adjusted Level of

Performance

Number of Students in the

Numerator

Number of Students in the Denominator

Table 12 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 5 GRAND TOTAL56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

5P1: NONTRADITIONAL PARTICIPATION

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Additional Information:

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

Table 13 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) POSTSECONDARY LEVEL

5P2: NONTRADITIONAL COMPLETION

STATEPROGRAM YEAR

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

GENDER

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1977 Standards)

Additional Information:

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

Table 14 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White18 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

State Adjusted Level of

Performance

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

GENDER

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

1A1: TECHNICAL SKILL ATTAINMENT

STATEPROGRAM YEAR

Met 90% of Adjusted Level of

Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

Additional Information:

Table 15 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2930 Credential31 Certificate32 Degree

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

State Adjusted Level of

Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)Line Population

Number of Students in the

Numerator

Number of Students in the Denominator

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

2A1: CREDENTIAL, CERTIFICATE, OR DEGREE

STATEPROGRAM YEAR

Additional Information:

GENDER

Actual Level of Performance

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

SUBINDICATORS

Table 16 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from the FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2930 Retention31 Transfer

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Line Population

Additional Information:

Met 90% of Adjusted Level of

Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

SUBINDICATORS

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

3A1: STUDENT RETENTION OR TRANSFER

STATEPROGRAM YEAR

Number of Students in the Denominator

Number of Students in the

Numerator

GENDER

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Table 17 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

2 GENDER3 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaii or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Nontraditional Enrollees28 Tech Prep2930 Apprenticeship31 Employment32 Military33 Retention

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Line PopulationNumber of

Students in the Numerator

Number of Students in the Denominator

Met 90% of Adjusted Level of

Performance (Y,N)

Adjusted vs. Actual Level of Performance

Actual Level of Performance

State Adjusted Level of

Performance

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

4A1: STUDENT PLACEMENT

STATEPROGRAM YEAR

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

Additional Information:

SUBINDICATORS

Table 18 0f 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

23 Male 4 Female 56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities (ADA)23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

RACE/ETHNICITY* (1997 Revised Standards)

RACE/ETHNICITY* (1977 Standards)

GENDER

Additional Information:

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

5A1: NONTRADITIONAL PARTICIPATION

STATEPROGRAM YEAR

LineAdjusted vs.

Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

Actual Level of Performance

State Adjusted Level of

Performance

Number of Students in the Denominator

Number of Students in the

NumeratorPopulation

Table 19 of 22

Amended Performance Data Date of Filing Amended Data: _______________________

1 GRAND TOTAL Pre-populated from FAUPL

12 Male 3 Female 4 GRAND TOTAL56 American Indian or Alaskan Native7 Asian or Pacific Islander8 Black (not Hispanic)9 Hispanic10 White11 Unknown1213 American Indian or Alaska Native14 Asian15 Black or African American16 Hispanic/Latino17 Native Hawaiian or Other Pacific Islander18 White19 Two or More Races20 Unknown2122 Individuals With Disabilities23 Economically Disadvantaged24 Single Parents25 Displaced Homemakers26 Limited English Proficient27 Tech Prep

*See "Definition of Terms" for guidance with reporting the Race and Ethinicity Categories.

Number of Students in the

Numerator

Number of Students in the Denominator

State Adjusted Level of

Performance

Actual Level of Performance

Adjusted vs. Actual Level of Performance

Met 90% of Adjusted Level of

Performance (Y,N)

GENDER

RACE/ETHNICITY* (1977 Standards)

RACE/ETHNICITY* (1997 Revised Standards)

SPECIAL POPULATIONS AND OTHER STUDENT CATEGORIES

Student Accountability Forms for the Section 113 Core Indicators of Performance (Title I) ADULT LEVEL

5A2: NONTRADITIONAL COMPLETION

STATEPROGRAM YEAR

Line Population

Additional Information:

Table 20 of 22

Amended Performance Data Date of Filing Amended Data: __________________

1 1STP1 Enroll in postsecondary education

2 1STP2 Enroll in postsecondary in the same field or major

3 1STP3 Complete a State or industry-recognized certification or licensure

4 1STP4 Complete courses that award postsecondary credit

5 1STP5 Enroll in remedial mathematics, writing, or reading courses

Number of Students in the

NumeratorLine

Student Accountability Forms for the Section 203 Indicators of Performance (Title II) SECONDARY LEVEL

PROGRAM YEARSTATE

Indicator Number Performance Indicator

Additional Information:

Percent of Students

Number of Students in the Denominator

Table 21 of 22

Amended Performance Data Date of Filing Amended Data: __________________

1 1PTP1 Enployment after graduation

2 1PTP2 Complete a State or industry-recognized certificate or licensure

3 1PTP3 Complete a 2-year degree or certificate

4 1PTP4 Complete a baccalaureate degree program

Student Accountability Forms for the Section 203 Indicators of Performance (Title II) POSTSECONDARY LEVEL

STATEPROGRAM YEAR

Line Percent of Students

Indicator Number Performance Indicators

Number of Students in the

Numerator

Number of Students in the Denominator

Additional Information:

Table 22 of 22