School Annual Report Form

SCHOOL INFORMATION

School Name*

School Address (must not be postal box)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Delivery Address (if different from school address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Principal or Head of School*

Prefix First Last

Title(s)*

Email*

School Website Address*

School Phone*

School Fax*

Grades or Levels in School*

Number of Students Enrolled*

Number of Teaching Staff: Full time*

Number of Teaching Staff: Part time*

Year Established*

School Type - check all that apply*

Early Childhood Education
Elementary School
Middle School
Secondary School
Comprehensive K-12 School
Distance Education
Supplementary Education
Career/Technical School

Additional Comments (optional)

Indicate types of educational delivery methods used (check all that apply):*

Computer Software programs (ie. Accelerated Reader, etc.)
Correspondence mail
Internet/Web-based
Virtual classroom (video conferencing)
Other

If other, please describe:

Is your school part of an association of schools?*

Yes
No

ASSOCIATION INFORMATION

Name of Association*

Address (must not be postal box)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Contact*

Prefix First Last

Title(s)*

Email*

Website Address*

Phone*

Fax*

Additional Information (optional)*

Annual Report Form

Step 1 of 5

SCHOOL INFORMATION

ASSOCIATION INFORMATION

SCHOOL PROFILE

1. Legal Authority

2. Educational Program

DOCUMENTATION

CURRENT ENROLLMENT

3.1 Early Childhood Education Schools or Centers

Number of Students Birth thru Kindergarten: Boys

Number of Students Birth thru Kindergarten: Girls

3.2 For Elementary, Middle or Secondary Schools

Number of Students Kindergarten thru 14th Grade: Boys

Number of Students Kindergarten thru 14th Grade: Girls

3.3 For Supplementary Education centers: Enrollment Levels

Number of Students Kindergarten thru 14th Grade: Boys

Number of Students Kindergarten thru 14th Grade: Girls

3.4 For Distance Education Schools: Enrollment Area

Enrollment Area Number of Students: Boys

Enrollment Area Number of Students: Girls

CURRENT ENROLLMENT TOTALS (for your review)

4. Signature