Illinois Preschool Expansion Program Grantee Reporting Form Guidance: The Grantee Reporting Form provides important information to the Illinois State Board of Education and the Governor’s Office of Early Childhood Development that will be used to provide support to programs and update our federal funders on our state’s progress. Complete one reporting form per grantee. If your program has multiple sites, including community partners, all of their data should be reflected together in this form. Please only report on four-year-old children enrolled in the Preschool Expansion Program. Please send the completed form to ISBE’s Early Childhood Division at earlychi@isbe.net and Bryan Stokes II, Preschool Expansion Policy Director, at bryan.stokes@illinois.gov prior to the due dates outlined below. By submitting this form, you certify that all of the provided information is accurate and true. Reporting Period: □ Mid-year (July 1 – December 31) Due January 15 □ Final (July 1 – June 30) Due July 15 Grantee Name: Name of Person Completing Report: Title of Person Completing Report: Is this Person the Primary Program Administrator? □ Yes □ No, the administrator is: _______________________________________ Page 1 of 6 Revised 11-20-15 Enrollment: Does your program serve any Preschool Expansion children in mixed age group classrooms (i.e. threes and fours in the same room)? □ Yes □ No If yes, please complete next two questions How many mixed age classrooms are a part of your Preschool Expansion Program? How many total Preschool Expansion children are served in a mixed age group classroom? Does your program serve any Preschool Expansion children in an economically diverse classroom (i.e. a classroom with some children above 200% of FPL)? □ Yes □ No If yes, please complete next two questions How many economically diverse classrooms are a part of your Preschool Expansion Program? How many total Preschool Expansion children are served in an economically diverse classroom? Child Care Assistance Program (only complete if your program uses CCAP funds): Did your program use funds from the Child Care Assistance Program to provide before or after school care to children enrolled in the Preschool Expansion Program? □ Yes □ No If yes, please complete next two questions Note: This includes community partner sites serving Preschool Expansion children. How many Preschool Expansion children received a CCAP subsidy? Were all Preschool Expansion Program children charged □ Yes □ No to CCAP on a part-time basis (excluding school district holidays)? Page 2 of 6 Revised 11-20-15 Classroom Quality: Please share how your program has used the CLASS (Classroom Assessment Scoring System) as a selfassessment and program quality improvement tool in your classrooms. CLASS training is a component of the Lead. Learn. Excel. program for instructional leaders. Were any of your Preschool Expansion Classrooms assessed by a CLASS reliable assessor? □ Yes □ No If yes, please provide results below: Classroom Name Emotional Support Classroom Organization Instructional Support Please describe how your program will use the results of CLASS self-assessment to improve instructional quality: Attendance: How many individual children in your program attended 85% or less during each quarter of the year? July – September October – December January – March April - June What common causes of poor attendance have you identified among children in your program? Page 3 of 6 Revised 11-20-15 Please describe steps that you have taken to resolve these attendance challenges and your program’s plan going forward: Personnel: Has your program hired an instructional leader for every 10 classrooms? □ Yes □ No Please provide the names and degree level of these individuals: Name Degree Level and Field Has each instructional leader enrolled in Lead. Learn. Excel? Which cohort(s) are these leaders participating in? Has your program hired a parent educator for every 100 students? □ Yes □ No Please provide the names and degree level of these individuals: Name Degree Level and Field Page 4 of 6 Revised 11-20-15 Mental Health: How does your program provide mental health services? □ Independent Consultant □ Partnership with a Local Agency □ Mental Health Professionals on Staff If your program partners with a local agency, please provide that agency’s name: If your program contracts with independent consultants, please provide the name(s) and qualifications of your consultant(s): Name Credentials / Qualifications Challenges: What are the greatest challenges that you are facing in your program? What steps have you taken to address these challenges? How can ISBE and OECD support your program in solving these challenges? Page 5 of 6 Revised 11-20-15 Successes: Please share a success story about a child or family in your program (we may follow up to request additional details): Please share a success story about your program itself, such as new partnerships, innovative strategies or local support: Please also send us at least two photographs of your program in action over the past reporting period. It is important that you have photo release forms signed by parents for all children appearing in these photographs. Photographs can include classroom activities, parent meetings, field trips, special events or anything else that happened in your program that will help us share your great work with children and families. Page 6 of 6 Revised 11-20-15