Private School Enrollment Data by shimeiyan

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									                                  Private School Enrollment Data
                                     (School Year 2000-2001)

Private school data are required prior to allocation of funding for the following
Elementary and Secondary Education Programs: Title I, Title II (Eisenhower), Title IV
(Safe and Drug Free Schools), and Title VI. If there are no private schools operating in
the district, please check the appropriate box and return the form. Otherwise, provide the
number of students enrolled as of October 1, 2000, and indicate the private school’s
intent to participate in the identified programs by checking the appropriate boxes.

School District: ____________________________________________________

         There are no private schools operating within the boundaries of this district.


                   Signature of Authorized School Official

-   -------------------------------------------------------- --

Please provide the following information for each private school operating within the
boundaries of this district. (Include both participating and non-participating schools.)

                                                                      School elects to participate the
                                                     Number of
               Private School Information                                Following ESEA programs
                                                     Students
                                                                   Title I    Title II Title IV Title VI

School Name:

School Address:

Principal or Contact::

Grades Included:


School Name:

School Address:

Principal or Contact::

Grades Included:

Make copies of the form for reporting additional schools.

Return completed forms to Dr. Charles D. Watson, Program Manager, Arkansas Department of
Education, #4 State Capitol Mall, Little Rock, AR 72201 or fax to 501-682-9026.

Deadline – May 28, 2001

								
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