Division of Instructional Servicessystem

SEND TO: STATE DEPARTMENT OF EDUCATION

DIVISION OF INSTRUCTIONAL SERVICESSYSTEM

FEDERAL PROGRAMS SECTION

POST OFFICE BOX 302101

MONTGOMERY, ALABAMA 36130-2101

FOR THE PERIOD OF OCTOBER 1, 2009 - SEPTEMBER 30, 2010 DUE ON NOVEMBER 20, 2010

FORM 1COMMUNITY EDUCATION ANNUAL PROGRAM REPORT Revised 1/10

SECTION I:

A. K-12 SUPPORT PROGRAMS

TYPE OF PROGRAM / NUMBER OF SCHOOLS/SITES / NUMBER OF PARTICIPANTS
Tutorial or Remedial Program
Extended-Day Program Summary (Also see below)
Parent Involvement Program
At-Risk Youth Program
Pre-School Program
Summer Program
Business/Community Partnerships
(Adopt-A-School) / (Number of Businesses/Agencies/Organizations)

B. EXTENDED-DAY AND EXTENDED-YEAR – PROGRAM ANALYSIS

List sites with Extended-Day and/or Extended-Year (Summer) Programs

School / Average Number of Students / Number of Days Program Operates Per Week / Programs Operate After School
(Check As Appropriate) /

Programs Operate

Before School

(Check As Appropriate) / Programs Operate
Holidays
(Check As Appropriate) / Programs Operate
Summer
(Check As Appropriate) / Break For Year Round Schools
(Check As Appropriate) / Amount of Tuition
1.
2.
3.
4.
5.
6.

(Add additional pages if necessary)

NOTE:Please review all sections and use your judgment to place community education-sponsored activities in the proper category. Some activities may fit in more than one category. Please select the category you believe most closely fits the activity. Count participants, students, or volunteers only once for each activity in which they participate.

Form 1- COMMUNITY EDUCATION ANNUAL PROGRAM REPORT

SECTION II:A - ACTIVITIES, EVENTS, AND MEETINGS

B - ENRICHMENT CLASSES

A.ACTIVITIES, EVENTS, AND MEETINGS

Approximate number of special events, meetings, and activities held annually:

Approximate number of participants:

B.ENRICHMENT CLASSES

Total number of classes:

Number of sites where classes are offered:

ENROLLMENT: (COMPLETE CHART BELOW)

PRE-SCHOOL / K-12 / ADULT* / SENIORS (60+) / TOTALS
FALL
WINTER
SPRING
SUMMER
YEARLY TOTALS

*Do not include adult basic education or GED enrollment.

FORM 1 - COMMUNITY EDUCATION ANNUAL PROGRAM REPORT

SECTION III: COOPERATION WITH LOCAL AGENCIES, ORGANIZATIONS, CLUBS, AND OTHERS

Approximate number of agencies, organizations, or clubs cooperating with program:

Please list the names of the major agencies, organizations, or clubs cooperating with the program:

SECTION IV: VOLUNTEERS

K-12 PROGRAM / COMMUNITY SCHOOL-
SPONSORED ACTIVITIES / TOTAL
TOTAL VOLUNTEERS
TOTAL HOURS

SECTION V: ADVISORY COUNCILS

Number of members:

Average number of members attending meetings: Approximate number of agencies represented:

Approximate number of meetings per year:

Are minutes kept of each meeting?( ) Yes( ) No

Are by-laws available?( ) Yes( ) No

Are officers elected annually?( ) Yes( ) No

Does superintendent meet with Advisory Council?( ) Yes( ) No

Comments:

FORM 1 - COMMUNITY EDUCATION ANNUAL PROGRAM REPORT

SECTION VI: PUBLIC RELATIONS/ACTIVITIES*

PUBLIC RELATIONS/ACTIVITIES / FREQUENCY OF USE / # CONTACTS / # DISTRIBUTED
Needs Assessment Surveys
Brochures
Presentations
Television
Radio
Newspapers
Circulars/Flyers
Resource File

*Enclose brochures, press releases, cooperative agreements, and all supportive documents affecting the program.

SECTION VII: STATISTICAL INFORMATION

Number of paid, community education coordinators/directors:

Number of paid, community education support personnel:

Secretaries Aides Program Assistants Custodians Other Total

Approximate number of hours per week, in addition to regular K-12 program, school buildings are utilized for community education

activities (sum of additional hours for all school buildings per week):

FORM 1 - COMMUNITY EDUCATION ANNUAL PROGRAM REPORT

SECTION VII: STATISTICAL INFORMATION (CONTINUED)

Approximate number of people served during previous school year.

(October 1 - September 30):

Total number of school buildings utilized for community education programs:

Funds allocated for community education:

$ Local (1) Fees

$ Local (2) City/County Government and Board of Education

$ State - [Program Source(s), other than State Community Education]

$ Other - Name Source(s):

$ Grand Total from above.

$ Total salaries paid to teachers (including all salaries generated through program)

Signature of Person Compiling Report

Date

FORM 1 - COMMUNITY EDUCATION ANNUAL PROGRAM REPORT

SECTION VIII: SURVEY INFORMATION

OPTIONAL SECTION:You may elect to complete this section or leave all or parts of it blank. The intent of this portion of the form is to assist the Alabama State Department of Education in providing the best possible service to each LEA.

Describe new areas in which the Community Education program is developing:

B.I am willing to share our program “best practices” with others. ______

YES NO Possibly

C.Our Community Education program is: (Circle One)GrowingStaying about the sameDeclining

I am confident that the scope and direction of our program are meeting its full capacity: (Circle One) YES NO

Areas in which I feel we should expand are:

I am satisfied with the service I receive from the Alabama State Department of Education: (Circle One)

12 3 4 5

Very MuchModeratelyAverage Some Areas Not At All

Need Improvement

I would like to have more State Department of Education support through: (check all that apply)

_____FundingTraining (List Areas)

_____Technical Assistance

_____Communications

_____ Publications

_____ Other (Please explain) ______

______