Universal Prekindergarten Final Program Report
2009-2010
District Name: ______District Code: ______
Name of Person Completing Report: ______Title: ______
Telephone Number:______E-mail address: ______
As the Chief School Officer, I certify that the information provided in this report is accurate and true to the best of my knowledge.
______
(Signature of Superintendent) (Date)
______
(Name of Superintendent – print or type)
SEND TO:NEW YORK STATE EDUCATION DEPARTMENT
EARLY EDUCATION AND READING INITIATIVES
89 WASHINGTON AVENUE, ROOM 381 EBA
ALBANY, NEW YORK12234
DUE DATE:NO LATER THAN July 30, 2010
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SCREENING NEW ENTRANTS
(Part 117 of Commissioner’s Regulations)
Requirement / When Screened / Screening Tool Used / Results / How were results used(Follow-up actions)
Cognitive development
Motor development
Language & literacy skills
NOTE: In addition to the above listed areas, Part 117 requires districts to document the following: evidence of a health examination, record of immunizations, vision, hearing, and dental screenings. This information must be available to SED upon request.
ESTABLISHING A DEVELOPMENT BASELINE
(pre-test)
Area Assessed / Assessment Tool(s) Used / When Assessed / Brief Analysis of Results / How are results used?(Follow-up Actions)
Language and Literacy Skills
Cognitive Skills
Social Skills
Other:
PROGRESS MONITORING
(on-going evaluation)
Area Assessed / Assessment Tool(s)/Methods Used / How are results used?(Follow-up Actions)
Language and Literacy Skills
Cognitive Skills
Social Skills
Other:
OUTCOME ASSESSMENT
(post-test)
Area Assessed / Assessment Tool(s) Used / Brief Analysis of Results / How are results used?(Follow-up Actions)
Language and Literacy Skills
Cognitive Skills
Social Skills
Other:
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SCREENING AND ASSESSMENT PROCESS
- Where do district children receive UPK services?
public school classroom community based organization classroom both
- Does the district have the same screening and assessment requirements for all UPK students regardless of the setting where UPK is provided?
YES NO
- How are the screening and assessment results used to inform the district’s professional development plan for UPK providers (public school and CBO)?
- How does the district report program effectiveness to parents and the public? Check all that apply and specify additional ways under other.
Parent Conferences Progress Reports
Classroom Newsletter District Website
District Newsletter Presentations to community organizations
School Board presentation Press Release
Other (please specify):
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COMPLETION OF THIS PAGE DOES NOT REPLACE THE SUBMISSION OF A FINAL EXPENDITURE REPORT (FS-10F). The FS-10F for your UPK Program is due to Grants Finance 30 days after the end date of the program year (by July 30, 2010). The Final Expenditure Report (FS-10F) should contain only the total amount expended, not subtotals by expense category. Failure to submit the FS-10F and the final program report in a timely manner may result in a reduction in funding.
NOTE: UPK GRANTS ARE STATE FUNDS. Title I, Even Start, Head Start, and Early Reading First are examples of federal funds. Support from district tax levy is local funding. Donations, business or foundation support is other funding.
Section 3602-e(13) of Education Law requires each school district operating a prekindergarten program to report annually to the Board of Regents, the Commissioner of Education, parents, teachers and the public on the status of such program. Such annual report must include a financial summary of the approved expenditures of the program and must specify the expenditures from state, local and other revenue sources. Submission of the following chart fulfills this requirement. Please itemize expenditures under each budget code.
CODE / ITEM/SERVICE / LIST AMOUNTSSPECIFIC SOURCESOF REVENUEFederal / State / Local / Other
15 / PROFESSIONAL SALARIES
16 / SUPPORT STAFF SALARIES
40 / PURCHASED SERVICES
46 / TRAVEL EXPENSES
80 / EMPLOYEE BENEFITS
90 / INDIRECT COST
49 / BOCES SERVICES
30 / MINOR REMODELING
20 / EQUIPMENT
45 / SUPPLIES AND MATERIALS
TOTALS
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