School Program Evaluation Report

DCI432409.GCIMS (2016-2017)



This document shows all the possible sections in the School Program Evaluation 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 Elementary and Secondary Education is authorized by the Department of Indian Affairs and Northern Development Act, R.S.C., 1985, c. 1-6, s.4. ( and is required for your participation.

We will use the personal information, provided to AANDC in this School Program Evaluation Report 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, 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 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.

Reporting Period

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:

Contact Information

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:

School Evaluation Status

Delivery Organization

The fields in this section are:

Client Information

The fields in this section are:


The fields in this section are:

Supporting Documents

List the supporting documents being submitted. All supporting documents MUST be submitted electronically.

The fields in this section are:


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