Forms & Grants

In an effort to facilitate data transfer, we encourage you to download, fill out, and return these forms ELECTRONICALLY whenever possible. Please note, starting summer 2010 all updated forms in MS Office formats will now be posted in version 2007. If needed, download the Microsoft Office Compatibility Pack for Word and Excel available on the Microsoft website, or call the contact telephone number listed above the form for an earlier version format.

Instructions for Downloading Forms

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EED Forms Due Dates

Assessments For assistance on these forms, call 465-8436.
Number	Form Name	Due Date
05-05-029	Flexible Scheduling Application for HSGQE Retest - MS Word	N/A
05-05-029a	Flexible Scheduling Application for SBA and TerraNova - District Use Only - MS Word	N/A
05-05-030	HSGQE Flexible Scheduling Terms of Agreement - MS Word	N/A
05-05-030a	SBA and TerraNova Flexible Scheduling Terms of Agreement - District Use Only - MS Word	N/A
05-09-001	Application for Early Testing - Science SBA - MS Word	N/A
05-12-014	Application for Waiver Variance for the Standardized Norm Referenced Assessment - MS Word	Oct 14

Assessments - High School Graduation Qualifying Exam (HSGQE) For assistance on these forms, call 465-8436.
Number	Form Name	Due Date
05-05-017	Nonstandardized HSGQE Application - MS Word	Sep 30
05-05-019	Modified/Nonstandardized HSGQE Request for Reconsideration - MS Word 2003	N/A
05-05-019	Modified/Nonstandardized HSGQE Request for Reconsideration - PDF	N/A
05-08-020	Modified HSGQE Application - MS Word	Aug 2

Assessments - HSGQE Waivers For assistance on these forms, call 465-8686.
Number	Form Name	Due Date
05-04-013	Late Arrival - MS Word	N/A
05-04-015	Another State's Competency Exam - MS Word	N/A
05-04-016	Waiver Appeal Application - MS Word 2003	N/A
05-05-020	Permission to Waive Participation in HSGQE Due to Disability - MS Word 2003	Oct 31
05-05-020	Permission to Waive Participation in HSGQE Due to Disability - PDF	Oct 31
05-11-020	Rare and Unusual Circumstance - MS Word	N/A
05-11-021	HSGQE Waiver and Appeal Guidelines - PDF	N/A

Assessments - Security Agreements for 2012-2013 For assistance on these forms, call 465-8436.
Number	Form Name	Due Date
05-07-079	Associate Test Coordinator Test Security Agreement - PDF	Sep 30
05-08-005	Test Security Agreement - PDF	N/A
05-08-006	District AND ELP Test Coordinator Test Security Agreement - PDF	Sep 30
05-11-022	Alternate Assessment Testing Security Agreement 2012-2013 - PDF	Jan 30

Bilingual/Limited English Proficient Students For assistance on these forms, call 465-2888.
Number	Form Name	Due Date
05-05-027	LEP Suggested Accommodation Plan - MS Word	As Needed
05-08-035a	Parent Language Questionnaire - MS Word 2003	N/A
05-08-035b	Language Observations Checklist - MS Word 2003	N/A
05-08-035c	Parent Language Questionnaire - Spanish - MS Word 2003	N/A
05-12-024	Plan of Service for Limited English Proficient Students - MS Word	Apr 15

Boarding Home For assistance on these forms, call 465-2891.
Number	Form Name	Due Date
05-96-021	Boarding Home Budget Report - MS Excel	Oct 15
05-96-022	Boarding Home Program & Procedures FY13 - PDF	Quarterly
05-96-023	Boarding Home Program Report - MS Excel	Quarterly

Career & Technical Education For assistance on these forms, call 465-2980.
Number	Form Name	Due Date
05-10-058b	FY 13 Perkins Re-allocation Application - MS Word	As Needed
05-11-069	CTE Program of Study Template - MS Word	As Needed
05-11-070	Perkins Out-of-State Travel Request - MS Word - MS Word	As Needed
05-12-016	All-In-One Perkins data - Excel Macro-Enabled	Jun 15
05-13-028	CTE Course Description and Standards Crosswalk - MS Word	As Needed
05-13-030	Perkins Local 5-Year Plan for CTE - MS Word	As Needed

Charter Schools For assistance on these forms, call 465-8715.
Number	Form Name	Due Date
05-01-027	Charter School Application - MS Word	As Needed
05-03-049	Charter Schools Monitoring Form - PDF	As Needed

Child Nutrition Programs For assistance on these forms, call 465-8709.
Number	Form Name	Due Date
05-07-094	CNP Web User Authorization Request and Signatory Authority - MS Word 2003	As Needed

Child Nutrition Programs - National School Lunch Program (NSLP) For assistance on these forms, call 465-8710.
Number	Form Name	Due Date
05-10-001	Alternate Attendance Factor Request - MS Word 2003	N/A
05-10-002	Free and Reduced Price Policy Statement (Non Pricing) - MS Word	Annually
05-10-003	Free and Reduced Price Policy Statement (Pricing) - MS Word	Annually
05-10-004	Food Safety Inspection Summary Form - MS Word 2003	Annually
05-10-006	On-Site Review Summary for Counting & Claiming Procedures - MS Word 2003	Feb 15
05-10-007	On-Site Review for After School Snack Form - MS Word 2003	N/A
05-10-008	On-Site Review Summary for After School Snack - MS Word 2003	Annually
05-10-010	Application for Waiver of Fluid Milk Requirement - MS Word 2003	As Needed
05-10-014	School Food Authority Verification Summary Report - MS Excel 2003	Mar 1
05-11-009	On-Site Review for Counting & Claiming Procedures - MS Word	N/A

Child Nutrition Programs - USDA Commodities For assistance on these forms, call 465-8709.
Number	Form Name	Due Date
05-07-021	Commodity Contact Change - MS Word 2003	As Needed
05-96-013	USDA Commodity Loss Procedure and Report - MS Word 2003	As Needed
05-96-051	USDA Food Product Complaint Report - MS Word 2003	As Needed

Correspondence Schools (Statewide) For assistance on these forms, call 465-8578.
Number	Form Name	Due Date
05-09-007	Correspondence Study Statement of Assurance - MS Word	As Needed

Educational Technology For assistance on these forms, call 465-8578.
Number	Form Name	Due Date
05-13-012	Budget Inventory Analysis Form - MS Word	Nov 15
05-13-013	Tech Plan Review Form - MS Word	Apr 1

E-Rate For assistance on these forms, call 465-8578.
Number	Form Name	Due Date
05-12-001	BIA Budget Inventory Analysis Form - MS Word	Sep 30

Facilities For assistance on these forms, call 465-2891.
Number	Form Name	Due Date
05-08-015	Annual Project Summary Debt Retirement Schedule 3 - MS Excel 2003	Oct 15
05-08-016	Annual Report for Grant CIP - MS Word 2003	Jul 31
05-11-046	Monthly Draw Request, State GO Bond Funded Project - MS Excel	Monthly
05-11-047	Quarterly Reconciliation, State GO Bond Funded Project - MS Excel	Quarterly
05-11-068	Capital Budget - Six Year Capital Improvement Plan - MS Excel	Sep 1
05-13-050	FY2015 Capital Improvement Project (CIP) Grant or State Aid for Debt Retirement Form - MS Word	Sep 1
05-94-035	Schedule of Payments Made for Principal and Interest on Bonds - Schedule 1 - MS Excel 2003	Oct 15
05-96-007	Notice of Excess Building - MS Word 2003	As Needed
05-96-030	Building Data Record - School Facility - MS Word 2003	As Needed
05-96-031	Building Data Record - Support Facility - MS Word 2003	As Needed

Financial Grants Administrative Forms For assistance on these forms, call 465-8696.
Number	Form Name	Due Date
05-07-069	Program Budget and Narrative Univ. Non-Profit - MS Excel	As Needed
05-07-070	Request for Reimbursement Univ. Non-Profit and Report - MS Excel 2003	Quarterly
05-07-071	Program Budget and Narrative School District - MS Excel	As Needed
05-07-072	Request for Reimbursement School District and Report - MS Excel 2003	Quarterly

Foundation For assistance on these forms, call 465-2891.
Number	Form Name	Due Date
05-11-034	FY2014 Projected ADM Submittal – “Paper” - MS Excel	Nov 5
05-93-038	FY2014 District Operating Fund Budget - MS Excel	Jul 15

Gifted Plan of Service For assistance on these forms, call 465-2857.
Number	Form Name	Due Date
05-11-048	Gifted Plan of Service - MS Word	As Needed

Indirect Cost Rate For assistance on these forms, call 465-2891.
Number	Form Name	Due Date
05-02-007	Indirect Cost Rate Forms FY14 - MS Excel Click on the arrow in the drop-down menu to see your District	Dec 31

NCLB - No Child Left Behind For assistance on these forms, call 465-2884.
Number	Form Name	Due Date
05-12-026	2012-2013 NCLB Monitoring Indicators District Response Form - MS Word	As Needed
05-13-040	2013-2014 NCLB Assurances & Certifications Packet - MS Word	As Needed

NCLB - Title I-A - Basic For assistance on these forms, call 465-2884.
Number	Form Name	Due Date
05-11-012	Title I Schoolwide Plan - MS Word	As Needed
05-11-049	Application for Title I-A Carryover into FY12 - MS Word	Sep 30
05-12-021	Report of Comparability - MS Excel	Feb 15
05-12-021a	Districts Required to Submit the Title I Report of Comparability - PDF	N/A
05-12-043	2011-2012 LEA Consolidated Performance Report - MS Word	Oct 12

NCLB - Title I-A – Supplemental Educational Services (SES)/School Choice For assistance on these forms, call 465-2884.
Number	Form Name	Due Date
05-12-023	2012-2013 Supplemental Educational Services & School Choice Assurances - MS Word	As Needed
05-12-044	2011-2012 Supplemental Educational Services (SES)/School Choice Data Collection - MS Excel	Aug 15
05-12-044a	2011-2012 Supplemental Educational Services (SES)/School Choice Data Collection Instructions - PDF	N/A
05-13-002	Supplemental Education Services Request for Applications 2013-2014 to 2015-2016 - MS Word	Feb 22

NCLB - Title I-C - Migrant For assistance on these forms, call 465-2885.
Number	Form Name	Due Date
05-07-059	Designate SEA Reviewer Form - MS Word	Annually
05-07-063	Alaska Migrant Book Program Final Report - MS Word	Apr 26
05-08-001	Migrant Education Certificate of Eligibility - PDF	As Needed

NCLB - Title I-D - Neglected and Delinquent For assistance on these forms, call 465-3826.
Number	Form Name	Due Date
05-09-016	FY13 Local Agency N&D October Count Report - MS Word	Dec 14
05-09-017	FY13 State Agency N&D October Count Report - Excel Macro-Enabled	Dec 14
05-13-001	Title I, Part D, Subparts 1 & 2 Annual Program Evaluation 2011-2012 - MS Excel	Nov 15
05-13-003	2012-2013 Title I-D Monitoring Indicators District Response Form - MS Word	As Needed
05-13-039	Title I, Part D, Subpart 2 Neglected & Delinquent Three-Year Grant for SY2014, 2015 & 2016 - MS Word	Jun 30

NCLB - Title II - Part A Preparing, Training and Recruiting For assistance on these forms, call 465-8703.
Number	Form Name	Due Date
05-09-019	2012-2013 LEA Plan for Highly Qualified Teachers - MS Word	Feb 18
05-09-019a	2011-2012 LEA Plan for Highly Qualified Teachers Guidance - PDF	Feb 18
05-11-015	Professional Development Plan Sample Template - MS Word	As Needed
05-12-019	FY 2012 Title IIA SAHE grant RFP - MS Word	Jun 30

NCLB - Title II - Part B Mathematics & Science Partnership For assistance on these forms, call 465-8703.
Number	Form Name	Due Date
05-13-049	Mathematics and Science Partnership Grant - PDF	Jun 28

NCLB - Title IV - Safe and Drug Free Schools For assistance on these forms, call 465-8717.
Number	Form Name	Due Date
05-09-024	Title IV End-of-Year Report - MS Excel	Jun 30

NCLB - Title X - McKinney-Vento/Homeless For assistance on these forms, call 465-3826.
Number	Form Name	Due Date
05-08-060	Required Immunization Statement for Provisional School Enrollment - MS Word 2003	N/A
05-13-004	2012-2013 Title X-C Monitoring Indicators District Response Form - MS Word	As Needed

OASIS Project For assistance on these forms, call 465-8418.
Number	Form Name	Due Date
05-12-034	Summer 2012 OASIS Handbook - PDF	Jul 15
05-12-034a	Summer 2012 OASIS Cover Memo - PDF	Jul 15
05-12-034b	Summer 2012 OASIS SRM Column Heading Template - MS Excel	Jul 15
05-13-017	Fall 2012 OASIS Data Handbook - PDF	Nov 11
05-13-017a	Fall 2012 OASIS SRM File Specs - PDF	Nov 11
05-13-017b	Fall 2012 OASIS SRM Column Heading Template - MS Excel	Nov 11
05-13-035	2013 Participation Rate Data Handbook (OASIS) - PDF	Apr 23
05-13-035a	2013 Participation Rate Data Handbook (OASIS) - Cover Memo - PDF	N/A
05-13-035b	2013 Participation Rate Data Handbook (OASIS) - Column Heading Template - MS Excel	N/A
05-13-035c	2013 Participation Rate Data Handbook (OASIS) - SRM File Specs - PDF	N/A

Parents As Teachers Program For assistance on these forms, call 465-6416.
Number	Form Name	Due Date
05-13-007	Alaska Parents As Teachers Program Request For Applications - PDF	Aug 29

Pre-Elementary Education For assistance on these forms, call 465-4862.
Number	Form Name	Due Date
05-10-025a	Regulation Notification Letter - PDF	As Needed
05-10-025b	Pre-Elementary School Regulation FAQ's - PDF	As Needed
05-11-062a	Head Start Attachment A - PDF	Annually
05-11-062b	Head Start Attachment B - PDF	Annually
05-11-062c	Head Start Attachment C - PDF	Annually
05-11-062d	Head Start Attachment D - PDF	Annually
05-11-062e	Head Start Attachment E - PDF	Aug 1
05-12-039	FY12 Pre-Kindergarten Program RFA - PDF	May 31
05-13-021	Pre-Elementary School Application for Approval Handbook - MS Word	As Needed
05-13-021a	Pre-Elementary School Application for Approval Handbook - Section One - MS Word	As Needed
05-13-021b	Pre-Elementary School Application for Approval Handbook - Section Two - MS Word	As Needed
05-13-021c	Pre-Elementary School Application for Approval Handbook - Section Three - MS Word	As Needed
05-13-021d	Pre-Elementary School Application for Approval Handbook - Section Four - MS Word	As Needed

Private Schools For assistance on these forms, call 465-8724.
Number	Form Name	Due Date
05-01-019	General Instructions - MS Word 2003	Oct 15
05-01-020	Affidavit of Compliance - MS Word 2003	Oct 15
05-01-021	Corporal Punishment Policy - MS Word 2003	Oct 15
05-01-022	Exempt Religious & Other Private Schools Enrollment - MS Word 2003	Oct 15
05-01-023	School Calendar - MS Word 2003	Oct 15
05-01-024	Enrollment Reporting Form for School District - MS Word 2003	Oct 15

Pupil Transportation Funding & Safety For assistance on these forms, call 465-2891.
Number	Form Name	Due Date
05-00-015b	Accident Summary Report - MS Word 2003	Monthly or Quarterly
05-06-028	School Bus Accident Report - MS Word 2003	As Needed
05-07-060	School Bus Safety Inspection Manual - 2006 Edition - PDF	N/A
05-13-006	2011 Minimum Standards for Alaska School Buses - MS Word	N/A

Quality Schools Grant For assistance on these forms, call 465-2887.
Number	Form Name	Due Date
05-01-096	Quality Schools Grant End of Year Report - MS Word	Jul 30
05-13-037	FY 2014 Quality Schools Grant Application - MS Word	May 1

Recognition Programs For assistance on these forms, call 465-2830.
Number	Form Name	Due Date
05-08-033	Talent Pool Recommendation Form - MS Word	May 5
05-11-063	Teacher of the Year Application - MS Word	Jun 14

Report Card For assistance on these forms, call 465-8435.
Number	Form Name	Due Date
05-12-027	Instructions for District & School Report Card Templates - MS Word	As Needed
05-12-028	District Report Card Template 2011-2012 - MS Word	As Needed
05-12-029	School Report Card Template 2011-2012 - MS Word	As Needed
05-12-030	Single Site District & School Report Card Template 2011-2012 - MS Word	As Needed
05-12-037	Report Card Data Collection Handbook 2011-2012 - PDF	Jun 15
05-12-037a	Report Card Data Collection Template 2011-2012 - MS Excel	Jun 15

Residential Education Program For assistance on these forms, call 465-2748.
Number	Form Name	Due Date
05-07-062	Statewide Residential Educational Program--Year-End Report and Request for Reimbursement - MS Excel	Dec 1
05-07-089	Statewide Residential Educational Program Year-End Report - MS Word	Jun 30
05-13-029	Statewide Residential Educational Program 2013-2014 Application - MS Word	Mar 25

Scholarships For assistance on these forms, call 465-6535.
Number	Form Name	Due Date
05-10-019a	Byrd Scholarship No Longer Available - PDF	N/A
05-13-008	Alaska Performance Scholarship Course Approval Form - MS Word	As Needed
05-13-008a	Guidance for School Districts to Submit Course Approval Form - PDF	N/A
05-13-011	United States Senate Youth Program Application for 2012-2013 - MS Word	Oct 26
05-13-011	United States Senate Youth Program Application for 2012-2013 - PDF	Oct 26

School Improvement Grants (SIG) 1003(g) For assistance on these forms, call 465-2884.
Number	Form Name	Due Date
05-11-035	Alaska RFA for LEA School Improvement Grants 1003(g) - MS Word	Mar 30
05-11-036	LEA SIG Application Supplement, Transformation Model - MS Word	Feb 25
05-11-037	LEA SIG Application Supplement, Turnaround Model - MS Word	Feb 25
05-11-038	LEA SIG Application Supplement, Restart Model - MS Word	Feb 25
05-11-039	LEA SIG Application Supplement, Closure Model - MS Word	Feb 25
05-11-040	LEA SIG Application Supplement, Tier III School Plan - MS Word	Feb 25

School/District Improvement For assistance on these forms, call 465-2884.
Number	Form Name	Due Date
05-12-040	2012-2013 School Improvement Plan Submission Packet - MS Word	Oct 1
05-12-041	2012-2013 District Improvement Plan Submission Packet - MS Word	Oct 1
05-12-042	2012-2013 Level 5 Alternative Governance Plan - MS Word	Apr 15

Special Education For assistance on these forms, call 465-8684.
Number	Form Name	Due Date
05-12-018	CEIS Expenditure Plan - MS Word	Annually
05-13-036	Supplemental Workbook - MS Excel	Jul 15

Special Education - Title VI-B and Section 619 Grant Applications For assistance on these forms, call 465-8693.
Number	Form Name	Due Date
05-13-025	Title Vi-B and Section 619 Filing Instructions - MS Word	Apr 30
05-13-026	Title VI-B and Section 619 Budget Forms & Instructions - MS Excel	Apr 30
05-13-027	Title VI-B and Section 619 Grant Application - MS Word	Apr 30

Staff Accounting For assistance on these forms, call 465-8579.
Number	Form Name	Due Date
05-13-009	Fall 2012 Certified Staff Accounting Handbook - PDF	Oct 15
05-13-009a	Fall 2012 Certified Staff Accounting Column Heading Template - MS Excel	Oct 15
05-13-009b	Fall 2012 Certified Staff Accounting File Specs - PDF	Oct 15
05-13-010	Fall 2012 Classified Staff Accounting Handbook - PDF	Oct 15
05-13-010a	Fall 2012 Classified Staff Accounting Column Heading Template - MS Excel	Oct 15
05-13-010b	Fall 2012 Classified Staff Accounting File Specs - PDF	Oct 15

Tuition For assistance on these forms, call 465-2748.
Number	Form Name	Due Date
05-96-024	Tuition Rate Report - MS Word	Nov 15

Forms & Grants

OR

See A Year at a Glance or See A School Year at a Glance

EED Forms Due Dates

Assessments

Assessments - High School Graduation Qualifying Exam (HSGQE)

Assessments - HSGQE Waivers

Assessments - Security Agreements for 2012-2013

Bilingual/Limited English Proficient Students

Boarding Home

Career & Technical Education

Charter Schools

Child Nutrition Programs

Child Nutrition Programs - National School Lunch Program (NSLP)

Child Nutrition Programs - USDA Commodities

Correspondence Schools (Statewide)

Educational Technology

E-Rate

Facilities

Financial Grants Administrative Forms

Foundation

Gifted Plan of Service

Indirect Cost Rate

NCLB - No Child Left Behind

NCLB - Title I-A - Basic

NCLB - Title I-A – Supplemental Educational Services (SES)/School Choice

NCLB - Title I-C - Migrant

NCLB - Title I-D - Neglected and Delinquent

NCLB - Title II - Part A Preparing, Training and Recruiting

NCLB - Title II - Part B Mathematics & Science Partnership

NCLB - Title IV - Safe and Drug Free Schools

NCLB - Title X - McKinney-Vento/Homeless

OASIS Project

Parents As Teachers Program

Pre-Elementary Education

Private Schools

Pupil Transportation Funding & Safety

Quality Schools Grant

Recognition Programs

Report Card

Residential Education Program

Scholarships

School Improvement Grants (SIG) 1003(g)

School/District Improvement

Special Education

Special Education - Title VI-B and Section 619 Grant Applications

Staff Accounting

Tuition

How Do I...

Public

Website Information

Contact Information

Alaska Dept. of Education & Early Development

District & Schools Info

Department Links

See A Year at a Glance or
See A School Year at a Glance

Alaska Dept. of Education
& Early Development