Project Progress Report Form
Document Sample


June Project Progress Report
Project Progress Report
for Learn and Serve Idaho
Due: June 15th
Mail or E-mail: Tina Naillon
Idaho State Department of Education
PO BOX 83720
Boise ID 83720-0027
tmnaillon@sde.idaho.gov
Partnership Agency/School District
Project address:
Authorized Learn & Serve Representative Member of Youth Advisory Council
Signature Signature
Telephone: Telephone:
Fax: Fax:
E-mail: E-mail:
Reporting Period:
QUANTITATIVE PERFORMANCE AND RESULTS
*NOTE CHANGES HAVE BEEN MADE TO THIS SECTION*
Number of active community volunteers (i.e.; parents, community members etc.)
Total community volunteer hours this period
Number of faculty participating
Number of students participating
Number of student service hours this period
Number of Hours Logged for Service Learning Coordinator this period
Please include a copy of Timesheets.
Number of Youth Advisory Council members this period
Number of Youth in Leadership Roles this period
Total dollar amount of in-kind donated goods and services this reporting period
$
List details on In-Kind Contributions and Matching Funds Form (Table 8.2) pg 5
Total dollar amount of monetary grants, donations, and fund raising this period
$
List details on In-Kind Contributions and Matching Funds Form (Table 8.2) pg 5
Revised February 2009 1
June Project Progress Report
1. KEY MILESTONES
2. KEY ISSUES, CONCERNS, OR CHALLENGES:
Resolved
Yet to Be Resolved
3. IMPACTS
4. CURRICULA, INSTRUCTION, AND ASSESSMENT:
5. WRAPPING UP THE YEAR:
6. NATIONAL DAYS OF SERVICE:
Revised February 2009 2
June Project Progress Report
7.1 PROFESSIONAL GROWTH AND DEVELOPMENT:
As identified in your grant application, COORDINATOR/TEACHER completes the following:
Will
In
As Measured By: be in As Measured By:
Program Quality Indicator Place
Evidence/Activities/ Strategies/ Place/ Evidence/Activities/ Strategies/
(Date)
Date
Form and supervise a diverse group of students to
serve as the Youth Advisory Council
Develop collaborative partnerships with local
community agencies to support high quality,
meaningful service experiences;
Develop collaborative partnerships with local business
to engender support of projects through cash and
material donations
Participate in and deliver staff development/
training/ information to strengthen service-learning
teaching strategies that promote best practice and
capacity building
Provide one-on-one coaching to teachers to assist
with their development of high quality service-
learning practices
Develop their own professional practice regarding
high quality service-learning linked to educational
standards
Develop professional practices regarding coordination
and implementation of high quality service-learning
student projects
Revised February 2009 3
June Project Progress Report
7.2 PROFESSIONAL GROWTH AND DEVELOPMENT (continued):
Service Learning YOUTH ADVISORY COUNCIL completes the following:
Yes Will
or As Measured By: be in As Measured By:
Program Quality Indicator
No Evidence/Activities/ Strategies/ Place/ Evidence/Activities/ Strategies/
Date
Have you formed a diverse group of students to serve
as the Youth Advisory Council?
Have you participated in youth leadership
development/training to strengthen involvement and
comprehension of service-learning?
Have you designed and implemented a community
service project?
Has your Learn and Serve project been developed
with Youth Voice and Youth Choice?
Have you shared your service-learning challenges,
strategies, results, with other students or other
service-learning schools/programs?
Has our Youth Advisory Council, in working together,
made a difference in our community?
Revised February 2009 4
June Project Progress Report
Learn and Serve Idaho Budget Report (Table 8.1)
Use this form to report the source, and in what area the funding was spent during the second quarter
reporting period (January 1 – May 31)
School/Program Name: Grant Award Grant Year:
$
Completed by:
Learn and Grantee Share Total
Other State,
Budget Item Serve Grant Total program
Local, or Private
Funds Share funds
funding
A. Implementation, Expansion, Operation, and
Replication of Service Learning Programs
Salaries/ Service-Learning Coordinator
Compensation
Benefits
Facilities
Telephone / Computer Usage
Supplies
Copies/Printing
Postage/Shipping
Other Services (Describe)
Cash Contributions
Other (specify)
Adult Volunteer Programs
B. Planning and Capacity Building
Curriculum Development
Project and Curriculum Supplies
Evaluation/Research
Travel to Grantee Meetings
Other Travel
Project Coordinator Travel
Student Travel and Project
Transportation
Training and Technical Assistance
Other (specify)
Grand Totals
Signature of Authorized Learn and Serve Representative: Date
Revised February 2009 5
June Project Progress Report
LEARN AND SERVE IDAHO
In-Kind Contributions and Matching Funds Form (Table 8.2)
Project Return to:
Supervisor: Tina Naillon
Project Idaho State Department of Education
Address: 650 West State Street
Telephone: Fax: Boise, ID 83702
tmnaillon@sde.idaho.gov
E-mail:
Was the
Approximate Value
Source Of Funds Description Of Contribution(s): Purpose For Which How Was Value Who Made This contribution
Of Contribution
Contribution
Include: Contribution Was Made Determined? Value obtained with or
Date Of
Real Or
Organization /Agency/ Item(s), Or How It Was To Be i.e.: Determination? supported by
Business/Individual and Service(s), Used Actual, federal funds?
Contact Information For The Funds Appraisal, Name
Designee Fair Market Title (If so, indicate
Value Contact info source.)
Signature of Authorized Learn and Serve _______________________________________ Date: __________________
Representative:
Revised February 2009 6
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