Refugee School Impact Grant (RSIG) Semi-Annual Reporting Form

Created for Erica Sponberg by Nhan Nguyen on 03/17/2021
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Refugee School Impact Grant Data Collection Submission
Indiana Department of Education
Refugee School Impact: Semi-Annual Reporting

Use this form to submit for all grants under the Refugee School Impact umbrella

Use this form to submit your semi-annual qualitative and quantitative data for:

If your LEA received both grants, you only need to submit this form one time.

Part I: LEA Contact Information
Select the LEA Name and Number. If you do not see the LEA listed, select "Other LEA Not Listed"*
If you selected "Other LEA Not listed", please type your LEA name and corp number in the field below.
Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Select Reporting Cycle*

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Refugee School Impact Grant Data Collection Submission
Indiana Department of Education
Activities Report

Please write a brief description for each prompt.
1. Activities: Describe major activities/events in implementation of the district-wide Refugee Program in this reporting period. Also include activities/events funded by Afghan-focused RSIG in your description if applicable.*
2. Accomplishments/New Initiatives: Describe any accomplishments, new initiatives, or success stories with the Refugee Program in this reporting period. Include accomplishments/new initiatives, or success stories specific to programming for Afghan students and families if applicable.*
3. Challenges/Emerging Issues: Describe major challenges and emerging issues for the Refugee Program during this reporting period. Include challenges/emerging issues connected specific to programming for Afghan students and families if applicable.*

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Refugee School Impact Grant Data Collection Submission
Indiana Department of Education
Student and Parent Participation Reporting
A Note on Who to Report: Report all eligible refugee students and their families impacted by services. Count one individual per reporting period (e.g., 1 participant who attends multiple events is counted as 1).

A Note on "Participation": Students and parents should be counted as "participating" if they are directly impacted by RSIG/ARSIG/S2S expenditures. If a student or parent participated in multiple RSIG/ARSIG/S2S grant funded activities, only count that individual once per grant.

A Note on "Orientation": "Orientation" may include any scheduled and planned information sessions on such topics as school requirements, school culture, utilization of school resources, etc. at the time of student/family arrival and enrollment into schools.

A Note on "Grade Promotion": Reporting on grade promotion should only occur after the April-September reporting period. This should only be reported once per student per grant cycle.

1. How many male and female students participated in your programming in Grades K-5 during the allotted reporting period?*

	RSIG Students (include ARSIG eligible students also)	ARSIG Students
Female students
Male students

1. How many male and female students participated in your programming in Grades 6-8 during the allotted reporting period?*

	RSIG Students (include ARSIG Eligible students also)	ARSIG Students
Female students
Male students

1. How many male and female students participated in your programming in Grades 9-12 during the allotted reporting period?*

	RSIG Students (include ARSIG Eligible students also)	ARSIG Students
Female students
Male students

2. How many female and male parents participated in your programming during the allotted reporting period? *

	RSIG Students (include ARSIG Eligible parents also)	ARSIG Students
Female parents
Male parents

Did you host a parent and/or student orientation for those who qualified during this reporting period?*

NoYes

Did you have male or female students receive grade promotion during this reporting period?*

NoYes

Refugee School Impact: Semi-Annual Reporting