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State of Alaska > Department of Education & Early Development > Forms Management
 

In an effort to facilitate data transfer, we encourage you to download, fill out and return these forms ELECTRONICALLY whenever possible. For more information, please contact the webmaster. Also, please see the OASIS Project. 

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EED Forms Due Dates
 Assessments
 For Help or Information on these forms, phone 465-8436
Number Form Name Due Date
05-05-029 HSGQE Flexible Scheduling Application - MS Word N/A
05-05-029a SBA Flexible Scheduling Application - District Use Only - MS Word N/A
05-05-030 HSGQE Flexible Scheduling Terms of Agreement - MS Word N/A
05-05-030a SBA 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
 
 Assessments - High School Graduation Qualifying Exam (HSGQE)
 For Help or Information on these forms, phone 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 N/A
05-05-019 Modified/Nonstandardized HSGQE Request for Reconsideration - PDF N/A
05-08-020 Modified HSGQE Application - MS Word Feb 5
05-08-020 Modified HSGQE Application - PDF Feb 5
 
 Assessments - HSGQE Waivers
 For Help or Information on these forms, phone 465-8686
Number Form Name Due Date
05-04-013 Late Arrival - MS Word N/A
05-04-015 Out of State Competency Exam - MS Word N/A
05-04-016 Waiver Appeal Application - MS Word N/A
05-05-012 HSGQE Waiver and Appeal Guidelines - PDF N/A
05-05-020 Permission to Waive Participation in HSGQE Due to Disability - MS Word Oct 31
05-05-020 Permission to Waive Participation in HSGQE Due to Disability - PDF Oct 31
05-09-008 Rare and Unusual Circumstance - MS Word N/A
 
 Assessments - Security Agreements for 2008-2009
 For Help or Information on these forms, phone 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
05-10-016 Alternate Assessment Testing Security Agreement 2009-2010 - PDF Annually
 
 Bilingual/Limited English Proficient Students
 For Help or Information on these forms, phone 465-2888
Number Form Name Due Date
05-05-027 LEP Suggested Accommodation Plan - MS Word As Needed
05-08-035 Plan of Service for Limited English Proficient Students - MS Word Apr 15
05-08-035a Parent Language Questionnaire - MS Word N/A
05-08-035b Language Observations Checklist - MS Word N/A
05-08-035c Parent Language Questionnaire - Spanish - MS Word N/A
 
 Boarding Home
 For Help or Information on these forms, phone 465-2891
Number Form Name Due Date
05-96-021 Boarding Home Budget Report - MS Excel Oct 15
05-96-022 Application Instructions and Payment Rates - MS Word N/A
05-96-023 Boarding Home Program Report - MS Excel Quarterly
 
 Career & Technical Education
 For Help or Information on these forms, phone 465-2980
Number Form Name Due Date
05-08-046 Perkins Local Plan Questions - MS Word Jun 30
05-08-048 CTE Course Description - MS Word As Needed
05-08-049 CTE Program of Study template - MS Word As Needed
05-08-050 Perkins-funded Out-of-State Travel Request - MS Word As Needed
05-09-030 Perkins IV All-In-One - MS Excel Jun 30
05-09-031 Perkins IV Secondary Report/Application FY09/10 - MS Word Jun 30
05-09-031a Instructions - Perkins Secondary Report/Application FY09/10 - PDF N/A
05-09-032 Perkins FY10 Activity and Budget Form - MS Excel Jun 30
05-10-024 RFA for Nontraditional Occupation Activities - MS Word Nov 20
 
 Charter Schools
 For Help or Information on these forms, phone 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 Services
 For Help or Information on these forms, phone 465-8709
Number Form Name Due Date
05-07-094 CNP Web User Authorization Request and Signatory Authority - MS Word As Needed
 
 Child Nutrition Services - National School Lunch Program (NSLP)
 For Help or Information on these forms, phone 465-8710
Number Form Name Due Date
05-10-001 Alternate Attendance Factor Request - MS Word 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 Annually
05-10-005 On-Site Review for Counting & Claiming Procedures - MS Word N/A
05-10-006 On-Site Review Summary for Counting & Claiming Procedures - MS Word Feb 15
05-10-007 On-Site Review for After School Snack Form - MS Word N/A
05-10-008 On-Site Review Summary for After School Snack - MS Word Annually
05-10-009 Edit Check Worksheet - MS Excel N/A
05-10-010 Application for Waiver of Fluid Milk Requirement - MS Word As Needed
05-10-014 School Food Authority Verification Summary Report - MS Excel Mar 1
 
 Child Nutrition Services - USDA Commodities
 For Help or Information on these forms, phone 465-8709
Number Form Name Due Date
05-07-021 Commodity Contact Change - MS Word As Needed
05-96-013 USDA Commodity Loss Procedure and Report - MS Word As Needed
05-96-051 USDA Food Product Complaint Report - MS Word As Needed
 
 Competitive Grants
 For Help or Information on these forms, phone 465-2830
Number Form Name Due Date
05-09-023 FY10-FY11 McKinney-Vento Homeless Education Competitive Grant Application - MS Word Jun 30
05-09-038 Head Start Expansion Grant - MS Word Jun 8
05-09-053 Even Start Family Literacy Program Application for Funding - MS Word Sep 18
 
 Correspondence Schools (Statewide)
 For Help or Information on these forms, phone 465-8578
Number Form Name Due Date
05-09-007 Correspondence Letter of Assurance - MS Word As Needed
 
 Educational Technology
 For Help or Information on these forms, phone 465-8578
Number Form Name Due Date
05-04-020 Educational Technology Plan Review Form - MS Word Apr 1
05-04-020a Educational Technology Plan Guidelines - MS Word N/A
05-09-044 School Computer 2008-2009 Count Report - MS Word Jun 8
05-10-011 Advance Placement Verification Form - MS Word Sep 31
05-10-026 Title II-D 2008-2009 Performance Report - MS Word Jan 25
 
 E-Rate
 For Help or Information on these forms, phone 465-8703
Number Form Name Due Date
05-07-041 Budget/Inventory Analysis for E-Rate Components - MS Word Nov 1
05-07-041a Guidance for Budget/Inventory for E-Rate Components - PDF Nov 30
 
 Facilities
 For Help or Information on these forms, phone 465-2891
Number Form Name Due Date
05-03-039 Monthly Draw Request/State G.O. Bond Funded Project - MS Excel Monthly
05-03-040 Quarterly Reconciliation/State G.O. Bond Funded Project - MS Excel Quarterly
05-08-015 Annual Project Summary Debt Retirement Schedule 3 - MS Excel Oct 15
05-08-016 Annual Report for Grant CIP - MS Word Jul 31
05-09-041 FY2011 Capital Improvement Project (CIP) Grant or State Aid for Debt Retirement Application Form - MS Word Sep 1
05-94-035 Schedule of Payments Made for Principal and Interest on Bonds - Schedule 1 - MS Excel Oct 15
05-94-036 Schedule of Interest Proceeds from Bonds Approved by Voters - Schedule 2 - MS Excel Oct 15
05-96-006 Capital Budget - Six Year Capital Improvement Plan - MS Word Sep 1
05-96-007 Notice of Excess Building - MS Word As Needed
05-96-030 Building Data Record - School Facility - MS Word As Needed
05-96-031 Building Data Record - Support Facility - MS Word As Needed
 
 Financial Grants Administrative Forms
 For Help or Information on these forms, phone 465-2939
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 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 Quarterly
 
 Foundation
 For Help or Information on these forms, phone 465-2891
Number Form Name Due Date
05-00-014a FY10 Actual Average Daily Membership - MS Excel Nov 6
05-00-014b FY11 Projection Average Daily Membership - MS Excel Nov 5
 
 Indirect Cost Rate
 For Help or Information on these forms, phone 465-2891
Number Form Name Due Date
05-02-007 Indirect Cost Rate Forms FY11 - MS Excel
Choose your District below
 Dec 31
05-07-044 Indirect Cost Rate Instructions - MS Word N/A
 
 NCLB - No Child Left Behind
 For Help or Information on these forms, phone 465-2884
Number Form Name Due Date
05-09-026a 2009-2010 NCLB Instructions & Handbook - MS Word N/A
05-09-026b 2009-2010 Assurances and Certifications Packet - MS Word N/A
05-09-026c NCLB ARRA Workbook - MS Excel N/A
05-09-026d 2009-2010 NCLB Consolidated Application with ARRA - MS Excel Jun 30
05-09-046 2009-2010 NCLB Monitoring Indicators District Response Form - MS Word As Needed
 
 NCLB - Title I-A - Basic
 For Help or Information on these forms, phone 465-2884
Number Form Name Due Date
05-06-029 Title I Schoolwide Plan Application - MS Word
05-09-020 Report of Comparability - MS Excel Feb 15
05-09-020A Report of Comparability District List - PDF N/A
05-09-052 District Application for Title I, Part A Waivers 2009-2010 - MS Word As Needed
05-09-054 LEA Consolidated Performance Report 2008-2009 - MS Word Jan 8
 
 NCLB - Title I-A – Supplemental Educational Services (SES)/School Choice
 For Help or Information on these forms, phone 465-2884
Number Form Name Due Date
05-09-027 2009-2010 Supplemental Education Services Request for Applications - MS Word Mar 27
05-09-047 2008-2009 Supplemental Educational Services (SES)/School Choice Data Collection - MS Excel Aug 29
05-09-047a 2008-2009 Supplemental Educational Services (SES)/School Choice Data Collection Instructions - MS Word N/A
 
 NCLB - Title I-C - Migrant
 For Help or Information on these forms, phone 465-2885
Number Form Name Due Date
05-07-001 Migrant Certificate of Eligibility - PDF As Needed
05-07-059 Designated SEA Reviewer Form - PDF Annually
05-07-063 Migrant Book Program Final Report Form - MS Word Apr 30
 
 NCLB - Title I-D - Neglected and Delinquent
 For Help or Information on these forms, phone 465-3826
Number Form Name Due Date
05-08-025 2008-2009 Title I-D Neglected & Delinquent Monitoring Form - MS Word N/A
05-08-040 2009-2010 Neglected & Delinquent Annual Application - MS Word Jun 30
05-09-016 FY10 Local Agency N&D October Count Report - MS Word Dec 15
05-09-017 FY10 State Agency N&D October Count Report - MS Excel Dec 15
05-10-018 Title I, Part D, Subparts 1 & 2 Annual Program Evaluation 2008-2009 - MS Excel Nov 16
 
 NCLB - Title II - Part A Preparing, Training and Recruiting
 For Help or Information on these forms, phone 465-8716
Number Form Name Due Date
05-09-019 Local Education Agency (LEA) Plan for Highly Qualified Teachers - MS Word Dec 1
05-09-019a LEA Plan for Highly Qualified Teachers Guidance - MS Word N/A
 
 NCLB - Title IV - Safe and Drug Free Schools
 For Help or Information on these forms, phone 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 Help or Information on these forms, phone 465-8707
Number Form Name Due Date
05-08-024 2008-2009 McKinney-Vento Homeless Monitoring Form - MS Word N/A
05-08-057 McKinney-Vento Subgrant Data Collection for 2007-2008 - MS Excel Jun 30
05-08-060 Required Immunization Statement for Provisional School Enrollment - MS Word N/A
05-09-023 FY10-FY11 McKinney-Vento Homeless Education Competitive Grant Application - MS Word Jun 30
05-09-048 2008-2009 McKinney-Vento Subgrant Data Collection & Final Report - MS Excel Jun 30
 
 OASIS Project
 For Help or Information on these forms, phone 465-8686
Number Form Name Due Date
05-07-067 Participation Rate Data Handbook (OASIS) - PDF Apr 7
05-07-067a Participation Rate Memorandum (OASIS) - PDF N/A
05-09-040 Summer 2009 OASIS Data Handbook - PDF Jul 15
05-09-040a SRM Summer 2009 OASIS Pilot - PDF Jul 15
05-09-040b SRM Summer 2009 OASIS Column Heading Template - MS Excel Jul 15
05-10-015 Fall 2009 OASIS Data Handbook - PDF Nov 9
05-10-015a SRM Fall 2009 OASIS Column Heading Template - MS Excel Nov 9
 
 Pre-Elementary Education
 For Help or Information on these forms, phone 465-4862
Number Form Name Due Date
05-09-028 Alaska Pilot Pre-Kindergarten Project - MS Word May 26
05-09-028a Alaska Pilot Pre-Kindergarten Project Q&A - PDF N/A
05-09-035 Head Start Application - MS Word Jun 1
05-09-035a Head Start Application - Attachment A - PDF N/A
05-09-035b Head Start Application - Attachment B - PDF N/A
05-09-035c Head Start Application - Attachment C - PDF N/A
05-09-035d Head Start Application - Attachment D - PDF N/A
05-09-036 Head Start Program Budget and Narrative - MS Excel As Needed
05-09-038 Head Start Expansion Grant - MS Word Jun 8
05-10-025 Pre-Elementary School Application for Approval Handbook - MS Word As Needed
05-10-025a Regulation Notification Letter - PDF As Needed
05-10-025b Pre-Elementary School Regulation FAQ's - PDF As Needed
 
 Private Schools
 For Help or Information on these forms, phone 465-8579
Number Form Name Due Date
05-01-019 General Instructions - MS Word Oct 15
05-01-020 Affidavit of Compliance - MS Word Oct 15
05-01-021 Corporal Punishment Policy - MS Word Oct 15
05-01-022 Exempt Religious & Other Private Schools Enrollment - MS Word Oct 15
05-01-023 School Calendar - MS Word Oct 15
05-01-024 Enrollment Reporting Form for School District - MS Word Oct 15
 
 Pupil Transportation Funding & Safety
 For Help or Information on these forms, phone 465-2891
Number Form Name Due Date
05-00-015b Accident Summary Report - MS Word Monthly or Quarterly
05-06-028 School Bus Accident Report - MS Word As Needed
05-07-060 School Bus Safety Inspection Manual - 2006 Edition - PDF N/A
 
 Quality Schools Grant
 For Help or Information on these forms, phone 465-8717
Number Form Name Due Date
05-01-008 FY 2010 Quality Schools Grant Application - MS Word May 1
05-01-096 2009-2010 Quality Schools Grant End of Year Report - MS Word Jul 30
 
 Recognition Programs
 For Help or Information on these forms, phone 465-2830
Number Form Name Due Date
05-00-088 Teacher of the Year Application - MS Word Jun 26
05-00-088a Teacher of the Year Application Cover Memo - PDF N/A
05-08-033 Talent Pool Recommendation Form - MS Word Mar 15
05-08-033a Talent Pool Cover Memo - PDF N/A
05-08-044 Teacher of the Year Application - PDF Jun 20
 
 Report Card
 For Help or Information on these forms, phone 465-8686
Number Form Name Due Date
05-09-042 Report Card Handbook - PDF Jul 15
05-09-043 Report Card Template (School Report Card) - MS Excel Jul 15
05-09-049 District Report Card Template 2008-2009 - MS Word N/A
05-09-049a Instructions for District Report Card Template - MS Word N/A
05-09-050 School Report Card Template 2008-2009 - MS Word N/A
 
 Residential Education Program
 For Help or Information on these forms, phone 465-2748
Number Form Name Due Date
05-07-061 2006-2007 Statewide Residential Educational Program Application - MS Word Mar 30
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
 
 Scholarships
 For Help or Information on these forms, phone 465-2884
Number Form Name Due Date
05-10-019 Robert C. Byrd Scholarship Application - PDF Apr 5
05-10-020 United States Senate Youth Program Application 2010-2011 - PDF N/A
 
 School/District Improvement
 For Help or Information on these forms, phone 465-2884
Number Form Name Due Date
05-05-005 FY05 School Improvement Plan Resource Guide - MS Word N/A
05-05-006 Data Analysis Tools Packet - MS Excel N/A
05-09-002 2009-2010 School Improvement Plan Submission Packet - MS Word Nov 2
05-09-003 2009-2010 District Improvement Plan Submission Packet - MS Word Oct 1
05-09-004 2009-2010 Level 5 Alternative Governance Plan - MS Word Apr 15
05-09-012 Application for School Improvement Funds, Section 1003(g) 2008-2009 - MS Word Nov 3
 
 Special Education
 For Help or Information on these forms, phone 465-8684
Number Form Name Due Date
05-08-054 SPED Supplemental Workbook - MS Excel Jul 15
05-10-017 Coordinated Early Intervening Services Student Data Collection - MS Excel Jul 15
 
 Special Education - Title VI-B and Section 619 Grant Applications
 For Help or Information on these forms, phone 465-8693
Number Form Name Due Date
05-05-024 FY10 Standard Forms- MS Word - MS Word Apr 30
05-05-025 FY10 Budget Forms- MS Excel - MS Excel Apr 30
05-06-017 FY10 Grant Application and Filing Instructions - MS Word Apr 30
 
 Staff Accounting
 For Help or Information on these forms, phone 465-8435
Number Form Name Due Date
05-10-012 Fall 2009 Certificated Staff Accounting Handbook - PDF Oct 15
05-10-013 Fall 2009 Paraprofessional and Classified Staff Accounting Handbook - PDF Oct 15
 
 Tuition
 For Help or Information on these forms, phone 465-2748
Number Form Name Due Date
05-96-024 Tuition Rate Report - MS Word Nov 15
 
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