Forms

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This application was designed to help members of the public access the many forms provided by the Department of Education and Early Development. You can search forms based on your choice of criteria, or see a complete list of forms organized by topic.

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Forms Administrator
- Rachel Schweissing: (907) 465-8433

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Forms by Program

Below is a list of forms provided by the Department of Education and Early Development, in alphabetical order by program. To see the forms under a topic, click or activate the section header. To view or download a form, click or activate the link attached to its form number.

Assessments - Test Security Agreements for 2017-2018

Form Number	Form Name	Due Date
05-18-012	Test Security Agreement Guidance - 2017-2018	N/A
05-18-013	Test Security Agreement Levels 1, 2, & 3	N/A
05-18-013a	Test Security Agreement Levels 1, 2, & 3 - FILLABLE FORM	N/A
05-18-014	Test Security Agreement Level 4	N/A
05-18-014a	Test Security Agreement Level 4 - FILLABLE FORM	N/A
05-18-015	Test Security Agreement Level 5	N/A
05-18-015a	Test Security Agreement Level 5 - FILLABLE FORM	N/A

Boarding Home

Form Number	Form Name	Due Date
05-96-021	Boarding Home Budget Report	October 15, 2018
05-96-022	Boarding Home Program Instructions & Rates	N/A
05-96-023	Boarding Home Program Report	N/A

Career & Technical Education

Form Number	Form Name	Due Date
05-11-069	CTE Program of Study Template	N/A
05-12-016	All-In-One Perkins data	N/A
05-13-028	CTE Course Description and Standards Crosswalk	N/A
05-13-052	Perkins Postsecondary Budget Form	June 15, 2018
05-18-040	Perkins CTE Professional Development Grant	N/A
05-18-046	Secondary/Postsecondary 5-Year Plan	October 31, 2018

Charter Schools

Form Number	Form Name	Due Date
05-03-049	Charter Schools Monitoring Form	N/A
05-15-035	Charter School Initial Application	N/A
05-15-036	Charter School Renewal Application	N/A
05-17-041	Charter School State Grant Application	N/A

Child Nutrition Programs - Enrollment Data Collection

Form Number	Form Name	Due Date
05-18-002a	Child Nutrition Program - SRM Column Heading Template	N/A
05-19-001	Child Nutrition Program - 2018-2019 Data Handbook	N/A

Child Nutrition Programs - National School Lunch Program (NSLP)

Form Number	Form Name	Due Date
05-10-004	Food Safety Inspection Summary Form	N/A
05-10-010	Application for Waiver of Fluid Milk Requirement	N/A
05-11-009	On-Site Review for Counting & Claiming Procedures	N/A

Child Nutrition Programs - USDA Commodities

Form Number	Form Name	Due Date
05-07-021	Commodity Contact Change	N/A
05-96-013	USDA Commodity Loss Procedure and Report	N/A
05-96-051	USDA Food Product Complaint Report	N/A

Correspondence Schools (Statewide)

Form Number	Form Name	Due Date
05-09-007	Correspondence Study Program Statement of Assurance	N/A

English Learner Programs

Form Number	Form Name	Due Date
05-14-024b	Language Observations Checklist	N/A
05-17-045	Accommodations for Students Identified as English Learners	N/A
05-19-004	Home Language Survey	N/A

ESEA - Elementary & Secondary Education Act

Form Number	Form Name	Due Date
05-17-034	2016-2017 LEA Consolidated Performance Report	November 24, 2018
05-18-026	2017-2018 ESEA Monitoring Indicators District Response Form	N/A

ESEA - McKinney-Vento/Homeless

Form Number	Form Name	Due Date
05-08-060	Required Immunization Statement for Provisional School Enrollment	N/A
05-15-002	2014-2015 ESEA Title X-C Monitoring Indicators District Response Form	N/A

ESEA - Title I-A - Basic

Form Number	Form Name	Due Date
05-12-021	Report of Comparability	N/A
05-12-021a	Districts Required to Submit the Title I Report of Comparability	N/A
05-17-056	District Parent and Family Engagement Policy Template	N/A
05-17-057	School Parent and Family Engagement Policy Template	N/A
05-18-031	Title I-A Schoolwide Plan	N/A
05-18-039	ESEA - District Plan	N/A
05-18-050	Title I-A Schoolwide Waiver	N/A
05-19-009	Title I Schoolwide Plan Assurances with Guidance	N/A
05-19-012	School-Parent Compact Template	N/A

ESEA - Title I-C - Migrant

Form Number	Form Name	Due Date
05-07-059	Designated SEA Reviewer Form	September 15, 2018
05-07-063	Alaska Migrant Education Literacy Grant FY18 Final Report	April 17, 2018
05-15-031	Annual Recertification of No New Moves	N/A
05-16-002	Remote Access Agreement	August 15, 2018
05-17-011	Migrant Web System Access Form for Records Management	August 15, 2018
05-17-067	Migrant Web System Recruiter Access Form	August 15, 2018
05-17-068	Certificate of Eligibility	N/A
05-18-041	Application to Consolidate Title I-C Funds into Title I-A Schoolwide Program	N/A

ESEA - Title I-D - Neglected and Delinquent

Form Number	Form Name	Due Date
05-13-039	SY 2013-2014 to SY 2015-2016 Title I-D, Subpart 2 Competitive Grant	N/A
05-16-015	SY 2016-2017 to 2018-2019 Title I-D, Subpart 2 Three-Year Competitive Grant	June 30, 2018
05-17-032	2016-2017 Title I-D, Subpart 1 Annual Program Evaluation	November 22, 2018
05-17-033	2016-2017 Title I-D, Subpart 2 Annual Program Evaluation	November 22, 2018
05-18-016	2017-2018 Locally Operated Institutions N&D October Count Report	November 13, 2018
05-18-017	2017-2018 State-Operated Agencies N&D October Count Report	November 13, 2018

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

Form Number	Form Name	Due Date
05-16-001	EES System District Review and Submission Form	July 1, 2018

ESEA - Title II - Part B Mathematics & Science Partnership

Form Number	Form Name	Due Date
05-16-032	Math & Science Partnership Grant RFP	April 29, 2018
05-17-055	Mat & Science Partnership Grant	June 16, 2018

ESEA - Title IV-B - 21st Century Community Learning Centers

Form Number	Form Name	Due Date
05-18-032	Alaska Nonprofit Organization Profile Form	N/A
05-18-033	Alaska 21st Century Community Learning Centers Request for Applications FY19	N/A

Facilities

Form Number	Form Name	Due Date
05-08-015	Annual Project Summary Debt Retirement Schedule 3	N/A
05-08-016	Annual Report for Grant CIP	N/A
05-11-046	Monthly Draw Request, State GO Bond Funded Project	N/A
05-11-047	Quarterly Reconciliation, State GO Bond Funded Project	N/A
05-15-018	Annual Debt Notice	N/A
05-15-040	Bond Reimbursement Request Form	N/A
05-18-043	FY2020 Capital Improvement Project (CIP) Grant or State Aid for Debt Retirement Application	September 1, 2018
05-18-044	Capital Budget - Six Year Capital Improvement Plan	N/A
05-94-035	Schedule of Payments Made for Principal and Interest on Bonds - Schedule 1	October 15, 2018
05-96-007	Notice of Excess Building	N/A
05-96-030	Building Data Record - School Facility	N/A
05-96-031	Building Data Record - Support Facility	N/A

Financial Grants Administrative Forms

Form Number	Form Name	Due Date
05-07-069	Program Budget and Narrative Univ. Non-Profit	N/A
05-07-071	Program Budget and Narrative School District	N/A
05-15-019	Year To Date (YTD) Request for Reimbursement School District	N/A
05-15-021	Year To Date (YTD) Request for Reimbursement University/Non-Profit	N/A

Foundation

Form Number	Form Name	Due Date
05-11-034	FY2019 Projected ADM Submittal – “Paper”	November 5, 2018
05-18-045	FY2019 District Operating Fund Budget	July 15, 2018

Gifted Plan of Service

Form Number	Form Name	Due Date
05-11-048	Gifted and Talented Plan of Service	N/A

Higher Ed

Form Number	Form Name	Due Date
05-17-053	Title IIA Subgrants To Eligible Partnerships	May 26, 2018
05-17-062	Title IIA Subgrants To Eligible Partnerships	August 31, 2018

Homeless

Form Number	Form Name	Due Date
05-17-058	Mckinney-Vento Act Education Program for Homeless Children and Youth	July 14, 2018

Indirect Cost Rate

Form Number	Form Name	Due Date
05-02-007	Indirect Cost Rate Form FY19	December 31, 2018
05-07-044	Indirect Cost Rate Instructions	N/A

OASIS Project

Form Number	Form Name	Due Date
05-15-038c	Data Correction Report for Alaska Public School Seniors	August 15, 2018
05-18-001a	Fall 2018 OASIS SRM Column Heading Template	November 9, 2018
05-18-030	2018 Participation Rate (Spring OASIS) Handbook	April 16, 2018
05-18-030a	2018 Participation Rate Column Row Header	N/A
05-18-035	2018 Summer OASIS Handbook	July 15, 2018
05-18-035a	2018 Summer OASIS SRM Column Heading Template	July 15, 2018

Parents As Teachers Program

Form Number	Form Name	Due Date
05-18-036	FY19 Parents As Teacher Home Visiting Grant Application	May 4, 2018

Pre-Elementary Education

Form Number	Form Name	Due Date
05-17-006	FY2017 Three-Year Renewal Grant Application	July 1, 2018
05-17-007	FY2017 Three-Year Renewal Grant - Alaska Pre-Elementary Grant Request for Applications	July 1, 2018
05-17-008	2016-2017 Alaska Pre-Elementary Program Assurances Packet	July 1, 2018
05-17-009	FY17 Alaska Pre-Elementary Grant Request for Applications	August 5, 2018
05-17-038	Fire Marshal Request for Inspection Form Template	N/A
05-17-039	Health & Safety Self-Inspection Checklist Template	N/A
05-18-007	One Year Pre-Elementary Extension Grant	September 15, 2018
05-18-027	Equitable Access to Quality Programs Pre-Elementary Grant	June 1, 2018
05-18-047	Alaska CLIMBS Assurance	June 1, 2018

Private Schools

Form Number	Form Name	Due Date
05-01-019	General Instructions	October 15, 2018
05-01-020	Affidavit of Compliance	October 15, 2018
05-01-021	Corporal Punishment Policy	October 15, 2018
05-01-022	Exempt Religious & Other Private Schools Enrollment	October 15, 2018
05-01-023	School Calendar	October 15, 2018
05-17-022	Enrollment Reporting Form for School Districts	N/A

Pupil Transportation Funding & Safety

Form Number	Form Name	Due Date
05-07-060	School Bus Safety Inspection Manual - 2006 Edition	N/A
05-15-015	Pupil Transportation Annual Report	N/A
05-15-016	Pupil Transportation Quarterly Report	N/A
05-18-005	School Bus Accident Report	N/A
05-18-029	Accident Summary Report	N/A
05-18-049	2017 Minimum Standards for Alaska	N/A

Quality Schools Grant

Form Number	Form Name	Due Date
05-01-096	Quality Schools Grant End of Year Report	N/A
05-18-034	Quality Schools Application	N/A

Recognition Programs

Form Number	Form Name	Due Date
05-14-013	Talent Pool Recommendation Form	April 15, 2018
05-17-026	U.S. Presidential Scholars	November 1, 2018
05-17-044	2019 Alaska Teacher of the Year	April 30, 2018

Report Card

Form Number	Form Name	Due Date
05-18-018	2016-2017 Instructions for District & School Report Card Templates	N/A
05-18-019	2016-2017 District Report Card Template	N/A
05-18-020	2016-2017 School Report Card Template	N/A
05-18-021	2016-2017 Single Site District & School Report Card Template	N/A
05-18-023	2016-2017 Report Card Data Collection Handbook	November 1, 2018
05-18-023a	2016-2017 Report Card Data Collection Template	November 1, 2018

Residential Education Program

Form Number	Form Name	Due Date
05-07-061	Residential School Application	N/A
05-07-062	Residential School--Year end Report and Request for Reimbursement	N/A
05-07-089	Residential School Year-End Report	N/A

Scholarships

Form Number	Form Name	Due Date
05-10-020	United States Senate Youth Program	November 1, 2018
05-13-008	Alaska Performance Scholarship Sample Course Eligibility Form	N/A
05-13-008a	Guidance Form for the Alaska Performance Scholarship Sample Course Eligibility Form	N/A
05-14-019	2014-15 Overview for IB Coordinators	N/A
05-14-037	2014-15 Overview for AP Coordinators	June 15, 2018

School Health & Safety - Seclusion & Restraint

Form Number	Form Name	Due Date
05-15-033	Seclusion and Restraint Annual Reporting Form	June 30, 2018

School/District Improvement

Form Number	Form Name	Due Date
05-17-016	FY18 - 1003(a) SIP Application Template	December 15, 2018

Special Education

Form Number	Form Name	Due Date
05-18-038	FY18 Special Education Supplemental Workbook	July 15, 2018

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

Form Number	Form Name	Due Date
05-12-018	COORDINATED EARLY INTERVENING SERVICES (CEIS) EXPENDITURE PLAN	N/A

Staff Accounting

Form Number	Form Name	Due Date
05-18-010	Fall 2017 Certified Staff Accounting Handbook	October 16, 2018
05-18-010a	2017 Certified Column Row Header template	October 16, 2018
05-18-011	Fall 2017 Classified Staff Accounting Handbook	October 16, 2018
05-18-011a	2017 Classified Column Row Header template	October 16, 2018
05-19-002	2018 First Day Teacher Vacancy Report	August 31, 2018
05-19-002a	First Day Teacher Vacancy Template	August 31, 2018
05-19-003	2017-2018 Educator Evaluation/Support System Data Handbook	September 15, 2018
05-19-003a	Educator Evaluation Template	September 15, 2018

Suspensions & Expulsions Data Collection

Form Number	Form Name	Due Date
05-17-054	Suspension and Expulsion Header Template	N/A
05-18-048	Suspensions and Expulsions Data Handbook	June 30, 2018

Tuition

Form Number	Form Name	Due Date
05-96-024	Tuition form	N/A

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