Name of Grant Program: Quality Full-Day Kindergarten
Fund Code: 701
PART IV – REQUIRED STATISTICAL INFORMATION
PLEASE NOTE: This version of the document is for local data collection and documentation purposes only. All data
for Part IV must be entered into the surveys created through SurveyMonkey. See the RFP Required
Forms section for more instructions. Below are the links to the individual sections of the survey.




Part IV Program Contact Information and Sections A and B (Survey Link)
Part IV, Sections C (Survey Link)
Part IV, Sections D, E, F and G (Survey Link)
Part IV, Sections H (Survey Link)
------------------------------------------------------------------------------------------------------------------------------------------------Part IV Program Contact Information and Sections A and B – Survey Link:
https://www.surveymonkey.com/s/IV-AB
Program Contact Information
District: __________________________________
Kindergarten Coordinator (Primary contact for all grant and programmatic issues in FDK)
Name:
Position:
Mailing Address:
Phone:
Extension:
Email:
Second Kindergarten Contact (Co-coordinator or other administrator involved with the FDK)
Name:
Position:
Mailing Address:
Phone:
Extension:
Email:
Check if the second contact wishes to receive the FDK email updates and announcements.
Fiscal Contact
Name:
Position:
Mailing Address:
Phone:
Extension:
Email:
Check if the fiscal contact wishes to receive the FDK email updates and announcements.
List additional names and email addresses of individuals who wish to receive the FDK email updates and
announcements.
1
Name of Grant Program: Quality Full-Day Kindergarten
Fund Code: 701
Answer the following questions with the most accurate data available for FY2012. All grantees should complete
this section.
A. Program Structure in FY2012
1. Total number of children enrolled in kindergarten (all classes) as of June 2012
________
2. Estimated number of children who entered kindergarten without preschool experience
________
(Definition of preschool: public preschool, community-based preschool/child care, Head Start, licensed family
child care.)
3. a. Number of children enrolled in full-day kindergarten
________
b. Of those in 3a, number enrolled who were experiencing homelessness
4. a. Total number of full-day kindergarten classrooms
________
________
(Include grant funded and non-grant funded full-day kindergarten, multi-age and substantially separate
classrooms with kindergarten-age eligible children that operated in FY2012.)
b. Of the number in 4a, the number of classrooms serving children on IEPs
________
(Include classrooms that serve children on IEPs for “related services only.”)
5. Does the district offer transitional kindergarten classrooms?
Yes (# of classrooms _____)
No
(Transitional kindergarten is a separate program for kindergarten-age eligible students between PreK and K as
well as 1st grade-age eligible students between K and 1st grade.)
6. Total number of part-time kindergarten sessions
7. a. What is the range of full-day class sizes?*
________ to _________
(lowest #)
(highest #)
b. What is the range of part-time class sizes?* ________ to _________
(lowest #)
(highest #)
________
________
(average class size**)
________
(average class size**)
* Do not include substantially separate special education classrooms with regulated class sizes.
**Average class size is the total number of kindergarten students divided by the total number of classrooms.
8. a. How many children are being retained in kindergarten for the 2012-2013 school year? ________
b. Of the number in Question 8a, how many are students who will be placed in transitional kindergarten
classrooms as defined in Question 5 for the 2012-2013 school year?
________
2
Program Structure in FY2012 (continued)
9. Rank the three greatest challenges for creating a Preschool - Grade 3 Continuum in the district.
(1 for most challenging; 2 for second most challenging; 3 for third most challenging)
a. ___ Developing aligned curriculum
b. ___ Implementing aligned assessments and methods of reporting
c. ___ Continuity of instructional methods across and within PreK to Grade 3
d. ___ Implementing tiered instruction / tiered systems of support
e. ___ Implementing developmentally appropriate practice (DAP)
f. ___ Access to free, universal full-day kindergarten
g. ___ Access to universal full-day preschool for three and four year olds
h. ___ Engaging school leadership to foster and strengthen a PreK through Grade 3 system
i. ___ Linking and collaborating with early education and care programs in the community
j. ___ Family engagement and family-teacher partnerships to develop educational goals for students
k. ___ Appropriate adult-child ratios that foster strong relationships and DAP
l. ___ Class sizes of 20 or fewer students
m.___ Well-qualified instructional aides/paraprofessionals
n.___ Evaluating the quality of learning environments
o. ___ Using standards, curriculum, and assessment to support the needs of the whole child
p. ___ Other_____________________________________________________________________
B. Staffing for Full-Day Kindergarten Classrooms in FY2012
10. a. Complete this chart to show the presence of instructional aides in each full-day classroom in FY2012. Two
examples are provided in the shaded area. This chart should reflect the presence of instructional aides
regardless of whether or not they are paid by the grant.
Instructional Aides in Full-Day Classrooms FY2012
Number of
FDK
Classrooms
Number of FDK
Classes with
Full-Time
Instructional
Aide(s)
Number of FDK
Classes with
Part-Time
Instructional
Aide(s)
Average
FTE for
Part-Time
Aide(s)
Number of FDK
Classrooms
with NO
Instructional
Aide(s)
e.g., 10
8
2
.5
0
e.g., 6
0
6
.45
0
(The total number of FDK Classrooms listed in the first column
should add up to the same number listed in A4a on page 1.)
b. What is the range of adult-child ratios in the full-day kindergarten classes?
1:____ to 1:____
(lowest)*
c. What is the average adult-child ratio in the full-day kindergarten classes?
(highest)**
1:____***
*Lowest = smallest number of children per adult (teacher, instructional aide) in a class. Do not include specialists
working with children with disabilities for short periods of time only. Include part-time instructional aides as 1.
**Highest = largest number of children per adult.
***Divide the total number of children by the total number of adults (e.g., 60 children, 3 teachers, 3 instructional
aides = adult-child ratio of 1:10). Do not include substantially separate special education classrooms.
3
Part IV, Sections C – Survey Link:
https://www.surveymonkey.com/s/IV-C
District: __________________________________
C. Status of NAEYC Accreditation in FY2012
Select one of the three following possibilities related to NAEYC Accreditation status and answer the
related questions
11. _____ Worked on NAEYC Accreditation *
Chart 11.a: Data on # of Accredited Buildings and Classrooms
i.
ii.
iii.
Number of Buildings
Number of Accredited
Total Number of
with
Buildings
Accredited Full-Day
Kindergarten
Full-Day Kindergarten
Classrooms in
Classes
buildings in Column
2
iv.
Of the number provided
in 11.a.iii, how many
will be up for reaccreditation in FY
2013
Based on the number listed in question 11.a.ii (number of buildings accredited), list the names of the NAEYC
accredited buildings in the district.
Chart 11.b: Accreditation Status for Classrooms in Buildings that are not Accredited
v.
vi.
vii.
viii.
ix.
Total Number of Total Number of Total Number of Total Number of
Total Number of
Classes in
Classes
Classes Denied Classes Awaiting
Classrooms
Enrollment
Accepted for
Candidacy
Assessment
Deferred by
and/or
Candidacy
Decision
NAEYC
Application
(Self-Study)
x.
Total Number of
Classes Not
Involved in
NAEYC*
* If there is a number in Column x, please explain why they are not involved in the accreditation process.
Chart 11.c Accreditation Status for Preschool Classrooms
xi.
xii.
Number of Preschool Classes
Number of Preschool Classes NAEYC
Involved in NAEYC
Accredited
12. _____ Worked on an alternatives to NAEYC accreditation
a. What instrument did the district select as part of its alternative to accreditation approach to address
quality? (See options on next page.)
4
Status of NAEYC Accreditation in FY2012 (continued)
American Montessori Society (AMS) - NAEYC Joint Accreditation
Classroom Assessment Scoring System (CLASS)
New England Association of Schools and Colleges (NEASC) Accreditation
Ready Schools Assessment
Tools of the Mind
Work Sampling System
b. Complete Attachment D: Report of Use of an Alternative to NAEYC Accreditation in FY2012 and attach
to the district’s continuation grant application.
13. _____ requested a one year postponement from NAEYC Accreditation in FY2012 (Postponement is for one
year only. Be sure that there is a plan for FY2013 to either pursue NAEYC accreditation or to apply for an
Alternative to Accreditation as outlined in Part III, Section II, Question 3d.)
14. Does the district plan to request a one-year postponement from NAEYC Accreditation for FY2013?
Yes___ or No___
Part IV, Sections D, E, F and G – Survey Link:
https://www.surveymonkey.com/s/IV-DEFG
District: __________________________________
D. Inclusion in FY2012
15. a. How many children in full-day kindergarten have Individualized Educational Programs (IEPs)?
b. Of the # in Question 15a, how many were in inclusive/integrated* classrooms?
(*defined as “fully-included” – included with peers at least 80% of the day)
_____
_____
16. a. How many children in part-time kindergarten have Individualized Educational Programs (IEPs)? _____
b. Of the # in Question 16a, how many were in inclusive/integrated* classrooms?
(*defined as “fully-included” – included with peers at least 80% of the instructional time)
_____
E. Schedule and Options
17. When does the district conduct kindergarten screening for incoming students?
January - March
July - September
April - June
Other - Describe:
5
Schedule and Options (continued)
18. If full-day kindergarten is offered district-wide, does a part-time option exist for families that do not want the
full-day program?
Yes
No
If yes, select the option.
Parents pick the student up mid-day.
District offers a session of part-time kindergarten as needed.
Other. Describe:
19. If full-day kindergarten is not offered district-wide, how are children selected for the full-day classes?
Based on the location of the elementary school or early childhood center.
By lottery.
Parent request or as needed.
Other criteria or process. Describe:
F. Screening and Assessment
20. Which of the following does the district use for screening children entering kindergarten? (Check all that
apply.)
Early Screening Inventory (ESI)
BATELLE
BRIGANCE
PPVT
DIAL-R
Ages and Stages Questionnaire
District-developed Screening Tool
Other tool: ______________________________________________
21. Which domains of kindergarten students’ development are assessed in an on-going way by the full-day
kindergarten program? (Check all that apply.) Please list the instruments that are used to assess the
domains that are checked.
Domain
Assessed?
Instruments Used to Assess:
Social and emotional
Physical health
Language and literacy
Mathematics
Other Domains Assessed:
22. If a domain is not assessed, please explain why.
6
G. Collaboration and Partnerships
23. Has the district partnered with any of the following public- or community-based organizations to support one
or more of the grant objectives (check all that apply)
Preschool program(s) in the public schools
Preschool program(s) in the community
Head Start
Family child care providers
Medical field
Public Library
Business field
Higher Education
Community and family engagement programs
After-school and out-of –school time programs
Other: __________________________________________________________________
Part IV, Section H – Survey Link:
https://www.surveymonkey.com/s/IV-H
District: __________________________________
H. Tuition
24. Did the district charge tuition for full-day kindergarten in FY2012?
Yes
No
(If yes, answer questions 24a, 24b, 24c, 25a and 25b; if no, skip to question 26)
a. How many children paid some amount of the tuition (exclude children for whom the tuition was waived)?
_____
b. Was there a revolving account in FY2011? _____ Yes _____ No
c. If yes, what was end balance as of June 30, 2011? $__________
25.a. $___________ Total Cost of Providing Full-Day Kindergarten in FY2012
25.a.1.
$________ Contributions from FY2011 Revolving Account (if applicable)
25.a.2.
$________ Contribution towards the cost from 701 grant funds
25.a.3.
$________ Contribution towards the cost from the local funds
25.a.4.
$________ Contribution from other funding sources (e.g., other grants, in-kind) not tuition
25a.5.
$_________ Sub-total for non-tuition contributions towards the FY2012 cost
(= Total of 25.a.1 through 25.a.4)
$___________ Remaining balance to be covered by annual tuition (25.a minus 25.a.5)
$___________ Total amount of tuition collected from families in FY2012
(= projected balance as of 6/30/12)
7
Tuition (continued)
b. If there is a variance between the balance that needed to be covered in FY2012 and the amount of tuition
collected (i.e., more tuition was collected than the balance that needed to be covered), how does the district
plan to handle the overage?
______ The balance will be completely rolled-over to the FY2013 revolving account.
______ The balance will be refunded to families.
______ A portion of the balance will be rolled over to the FY2013 revolving account and a portion will be
refunded to families.
$__________ Rolled Over to FY2013 Revolving Account
$__________ Refunded to Families
26. Will the district charge tuition in FY2013? Yes___ or No____
27. If yes, what is the final FY2013 tuition for full-day kindergarten? $________________ (annual)
28. Has the district submitted a FY2013 Tuition Policies Statement of Assurance and sliding fee scale?
Yes
No (If no, please attach the Statement of Assurance
and sliding fee scale to your contribution grant application.)
8