First Nations Student Success Program Report

DCI 1770265.GCIMS (2016-2017)

Notice

This document shows all the possible sections in the First Nation Student Success Program form. When you indicate your type of organization, the form displays only those sections that are relevant to you. If you do not see a section, it is because AANDC does not require that information at this time.

Privacy Act Statement

This statement explains the purposes and use of your personal information. Only information needed to respond to program requirements will be requested. Collection and use of personal information is in accordance with the Privacy Act. In some cases, information may be disclosed without your consent pursuant to subsection 8(2) of the Privacy Act.

The collection and use of personal information for the First Nation Student Success Program is authorized by the Department of Indian Affairs and Northern Development Act, R.S.C., 1985, c. 1-6, s.4. (http://laws-lois.justice.gc.ca/eng/acts/i-6/page-1.html) and is required for your participation.

We will use your personal information for archival, reporting to senior management and audit, evaluation, research, and/or statistical. The information collected is described in the Elementary and Secondary Education Program Personal Information Bank "AANDC PPU 1201 detailed at http://www.aadnc-aandc.gc.ca/eng/1100100011039/1100100011040, will be retained for 30 years and then are transferred to Library and Archives Canada.

As stated in the Privacy Act, you have the right to access your personal information and request changes to incorrect information. Contact your regional AANDC office or the Education Branch at education@aadnc-aandc.gc.ca to notify us about incorrect information. For more information on privacy issues and the Privacy Act in general, you can consult the Privacy Commissioner at 1 (800) 282-1376.

Report Identification

This section of the form is used for identification and tracking purposes. The fiscal year and reporting period are automatically filled with the relevant information.

The fields in this section are:

Organization Identification

This section is used to identify the organization completing the report and the Recipient who has the reporting requirement with AANDC.

The fields in this section are:

Contacts

The Primary Contact is the person who is responsible for the DCI when completed.

The Secondary Contact is the back-up contact in case the Primary Contact is unavailable.

The fields in this section are:

Services Provided by Delivery Organization

Delivery Organization

The fields in this section are:

Client Information

The fields in this section are:

School Participation

The fields in this section are:

Objective

Note: Make sure to list all three objectives, School Success Planning, Student Learning Assessments, and Performance Measurement.

The fields in this section are:

Activities Undertaken and Results Achieved

Activity

The fields in this section are:

Expenses

The fields in this section are:

Costs

The fields in this section are:

Project Status Update

The fields in this section are:

Performance Measures

Student Learning Assessment Results

The data provided are to be aggregated for all schools that administered each test.

The fields in this section are:

Percentage of schools administering tests

The fields in this section are:

Attendance Results

Provide the average monthly attendance for the school year just completed for all students attending all schools participating in the FNSSP Program.

The fields in this section are:

Graduation

Provide the following information for all schools participating in the program that are in a self-governing First Nation that does not annually submit a detailed Nominal Roll to AANDC.

The fields in this section are:

Retention

Provide the following information for all schools participating in the program that are in a self-governing First Nation that does not annually submit a detailed Nominal Roll to AANDC.

The fields in this section are:

Partners

A Partner is an organization that you expect to provide or has provided funding or in-kind contributions to the project.

The fields in this section are:

Supporting Documents

If you are submitting supporting documents, you need to list them on the PDF form. All documents MUST be submitted electronically.

You can attach any file format such as PDF, XML, MS Word, MS Excel, etc.

The fields in this section are:

Declaration

Enter identification details of the person who has reviewed the information provided in the PDF and who confirms that it is accurate to the best of their knowledge.

The fields in this section are:

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