EMSC Banner for Content Pages. The banner reads, "New York State Education Department (NYSED), Elementary, Middle, Secondary and Continuing Education (EMSC)" Back to EMSC Home
SED Home
Disclaimers and Notices

No Child Left Behind

Consolidated Application Update
2007-2008

Program Information Report, 2006-07

Part A: Sections 4-6

When you have completed this form and are ready to submit it to the Department, be sure to print a copy for your records and then click on the "SUBMIT" button at the bottom of the page.

 

LEA:
         
When Program Offered:

Regular School Year 2006-07

Summer 2007
 

General Instructions for Part A:  Sections 4-6

  • Include all pupils served in academic intervention services (AIS)/Title I supplementary (compensatory) instructional programs.

  • Include students served in regular school day, before school, after school, and/or board-approved extended day programs

  • Do NOT include students served in AIS/Title I student support programs.  Report under A. 6.

  • Only count students with disabilities for AIS/Title I instructional services received, NOT for services listed on their IEPs.

  • Only count limited English proficient (LEP) students for AIS/Title I instructional services received, NOT for Part 154 services.

  • In non-graded situations, include participants in the grade designation appropriate to their age level.

  • You will need to enter a pupil in as many service areas as necessary. In most cases, this will result in numbers that exceed the unduplicated count in column 1. (See instructions for guidance.)

A. 4  AIS/Title I Instructional Programs - Student Participation Summary for TAS ONLY

  • In column 1, enter the total number of (unduplicated) students participating in any AIS/Title I instructional program (English language arts, mathematics, social studies, and/or science) by grade level. Count each pupil only once in this column .

  • In columns 2 - 5, enter the number of students served in AIS/Title I instructional program by each core subject area.
Grade
Level		 1.
Total Pupils (Unduplicated)		 2.
English Language Arts		 3.
Mathematics		 4.
Social Studies		 5.
Science
K

       
1        
2        
3        
4        
5        
6      
7      
8      
9      
10      
11      
12
Total      
 

A. 5  AIS/Title I Instructional Programs - Student Participation Summary for SWP - ONLY

  • In column 1, enter the total number of (unduplicated) students participating in any AIS/Title I instructional program (English language arts, mathematics, social studies, and/or science) by grade level. Count each pupil only once in this column .

  • In columns 2 - 5, enter the number of students served in AIS/Title I instructional program by each standards area.

  • Total each column.
Grade
Level		 1.
Total Pupils (Unduplicated)		 2.
English Language Arts		 3.
Mathematics		 4.
Social Studies		 5.
Science
K

 

        
1          
2          
3          
4          
5          
6          
7          
8          
9          
10          
11          
12
Total          
A. 6  AIS/Title I Student Support Services - Student Participation Summary for Both TAS and SWP
  • In column 1, enter the total number (unduplicated) of students by grade level receiving student support services under AIS/Title I, including both TAS and SWP.  Count each pupil only once in this column.
  • In columns 2 - 5, enter the number of students served in AIS/Title I student support programs by type of service.
  • In column 6, only report the number of students who received additional services not included in columns 2 - 5.
  • Total each column.
Grade
Level		 1.
Total Pupils (Unduplicated)		 2.
Guidance Counseling		 3.
Psychological Services		 4.
Social Worker Services		 5.
Health, Dental
& Eye		 6.
Other
K            
1            
2            
3            
4            
5            
6            
7            
8            
9            
10            
11            
12
Total    

Please print a copy of the completed form before clicking on the "Submit" button. If you accidentally submit the form before you are finished providing information, use your browser's "back" button to go back to the form. You can finish it and then resubmit.

If you have any questions, please contact the Title I School & Community Services office at emscpir@mail.nysed.gov or (518) 473-0295.

09/11/2007