Project Progress Report Form by NikFozzar

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									                                                                                 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




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                                                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:




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                                                                                                                      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




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                                                                                                                 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?




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                                                                                        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




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                                                                                                                                                          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:




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