All Forms

All DPI Data Collections

* If a link is not provided or does not work, contact the indicated Primary Contact person.

Form Number:

1602-WMEAP

Due Date(s):

No Due Date Assigned

Form Title:	*Wisconsin Master Educator Assessment Process (WMEAP) Application--Pilot Phase*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Charlene Koci	Phone:	608 267-9215
Secondary Contact:	Elaine Strom	Phone:	608 266-3089
Response Method:	Electronic Fillable Form

Form Number:

8038-Local

Due Date(s):

No Due Date Assigned

Form Title:	*District Match Worksheet--Wisconsin Learn and Serve America Grants*
Comments:	Worksheet is for local use only
Primary Respondent:	Public School Districts	Usage:	Local
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:
Primary Contact:	Neldine Nichols	Phone:	(608) 266-1045
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0007

Due Date(s):

Oct 13

Form Title:	*Enhancing Education Through Technology (EETT) Competitive Application*
Comments:	For use with ARRA EETT 2009 funds.
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Instructional Media and Technology
Primary Contact:	Amy French	Phone:	(608) 261-6327
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0014

Due Date(s):

Apr 16

Form Title:	*Strategies for Active Schools -- Grant Application*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Ken Wagner	Phone:	(608) 266-5181
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0014-Budget

Due Date(s):

No Due Date Assigned

Form Title:	*Strategies for Active Schools - Budget Detail*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Ken Wagner	Phone:	(608) 266-5181
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0015

Due Date(s):

Jul 23

Form Title:	*ARRA Economic Stimulus Funding Summer Food Service Program Grant*
Comments:
Primary Respondent:	School Food Authority	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Amy Kolano	Phone:	(608) 267-9129
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0017

Due Date(s):

Nov 5

Form Title:	*Schools of Recognition Grant Application*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Lara Kain	Phone:	(608) 267-7338
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0018

Due Date(s):

Aug 23

Form Title:	*Enhancing Education Through Technology*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Instructional Media and Technology
Primary Contact:	Steve Sanders	Phone:	(608) 266-3856
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

DPI-0020

Due Date(s):

Apr 3

Form Title:	*Spotlight Schools Grant Application*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Cathy Caro-Bruce	Phone:	(608) 264-9320
Secondary Contact:	Elizabeth McClure	Phone:	(608) 261-6324
Response Method:	Electronic Fillable Form

Form Number:

DPI-0020-Cont

Due Date(s):

Apr 3

Form Title:	*Spotlight Schools Continuing Grant Application*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Cathy Caro-Bruce	Phone:	(608) 264-9320
Secondary Contact:	Elizabeth McClure	Phone:	(608) 261-6324
Response Method:	Electronic Fillable Form

Form Number:

ELG-AUT-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Autism*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Daniel Parker	Phone:	608-266-5194
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-CD-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Cognitive Disability*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Erin Faasuamalie	Phone:	608-266-1785
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-DHH-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Hearing Impairment*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Carol Schweitzer	Phone:	608-266-7097
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-EBD-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligiblity Checklist Emotional Behavioral Disability*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Teri Dary	Phone:	608-266-1218
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-OHI-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Other Health Impaired*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Teri Dary	Phone:	608-266-1218
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-OI-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Orthopedic Impairment*
Comments:
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Wendi Dawson	Phone:	608-266-1146
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

ELG-SLD-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Specific Learning Disabilities--Initial Evaluation*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Special Education Team	Phone:	608-266-2841
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-SLD-002

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Specific Learning Disabilities--Reevaluation*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Special Education Team	Phone:	608-266-2841
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-SPL-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Speech & Language Impairment*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Sheryl Thormann	Phone:	608-266-1783
Secondary Contact:	Anita Heisig	Phone:	608-267-9167
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-TBI-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Traumatic Brain Injury*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Wendi Dawson	Phone:	608-266-1146
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-VIS-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist Visual Impairment*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Stacy Grandt	Phone:	608-758-6145
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

ELG-XXX-001

Due Date(s):

No Due Date Assigned

Form Title:	*Eligibility Checklist for each disability translated into Spanish*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Anita Heisig	Phone:	608-267-9167
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

FCCLA-1000

Due Date(s):

Mar 1

Form Title:	*Wisconsin FCCLA Scholarship Application*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Diane Ryberg	Phone:	(608) 267-9088
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

FCCLA-1000-A

Due Date(s):

No Due Date Assigned

Form Title:	*Wisconsin FCCLA Scholarship Recommendation*
Comments:	Complete and return with the FCCLA Scholarship Application (FCCLA-1000)
Primary Respondent:	Individuals	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Diane Ryberg	Phone:	(608) 267-9088
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

IDEA-Affirmation

Due Date(s):

No Due Date Assigned

Form Title:	*Individuals with Disabilities Education Act Affirmation of Representatives of Private Schools*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Paul Sherman	Phone:	608-267-9157
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

MPCP-7

Due Date(s):

No Due Date Assigned

Form Title:	*MPCP Student Application Designee Authorization*
Comments:
Primary Respondent:	Private educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Management Services
Primary Contact:	Tricia Collins	Phone:	(608) 266-2853
Secondary Contact:	Molly Koranda	Phone:	(608) 266-0523
Response Method:	Electronic Fillable Form

Form Number:

PI-1070-Special Education

Due Date(s):

No Due Date Assigned

Form Title:	*Advisory Committee Nomination*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Courtney Reed Jenkins	Phone:	608 267-9183
Secondary Contact:	Marge Schenk	Phone:	608 267-9176
Response Method:	Electronic Fillable Form

Form Number:

PI-1077-A

Due Date(s):

No Due Date Assigned

Form Title:	*State Superintendent's Schedule Request*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Office of the State Superintendent	Extent:
Team/Program:	Office of the State Superintendent
Primary Contact:	Karen Nowakowski	Phone:	(608) 266-5188
Secondary Contact:	Rebecca Hannah	Phone:	(608) 267-9219
Response Method:	Electronic Fillable Form

Form Number:

PI-1086

Due Date(s):

No Due Date Assigned

Form Title:	*Program Fiscal Report*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Management Services
Primary Contact:	Jacque Jordee	Phone:	(608) 267-9134
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

PI-1136-A

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins Formula Allocation Grant Award Acceptance*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1136-A-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Grant Award Acceptance*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1145

Due Date(s):

No Due Date Assigned

Form Title:	*State Instant Deposit Program Correction Form*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Debbie Brown	Phone:	608-267-9209
Secondary Contact:	Pam Schumacher	Phone:	608-267-9205
Response Method:	Print Only Form

Form Number:

PI-1161

Due Date(s):

Oct 31

Form Title:	*Indirect Cost Rate Adjustment*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Eugene Fornecker	Phone:	608-267-7882
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1197-B

Due Date(s):

Dec 19

Form Title:	*Pupil Nondiscrimination and Educational Equity Report*
Comments:	For more information, go to http://dpi.wi.gov/sped/puplnondis.html
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:	All Districts
Team/Program:	Special Education
Primary Contact:	Paul Sherman	Phone:	608-267-9157
Secondary Contact:	Marge Schenk	Phone:	608-267-9176
Response Method:	Electronic Fillable Form

Form Number:

PI-1201

Due Date(s):

Jul 31

Form Title:	*Verification of Private Schools Within Public District*
Comments:	DPI Enterprise Agency Database (School Directory)
Primary Respondent:	Public School Districts	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	(608) 267-3166
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Web Application

Form Number:

PI-1201-A

Due Date(s):

Jul 31

Form Title:	*Verification of Tribal Schools*
Comments:	DPI Enterprise Database (School Directory)
Primary Respondent:	Tribal Schools	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	(608) 267-3166
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Print Only Form

Form Number:

PI-1202

Due Date(s):

Dec 15

Form Title:	*Fall Staff Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Kari Tenley	Phone:	(608) 266-1730
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Web Application

Form Number:

PI-1203

Due Date(s):

Jul 1

Form Title:	*School District Statistical Report*
Comments:	School Year Calendar Schedule and K4 Program
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Student and School Success	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	(608) 267-3166
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Web Application

Form Number:

PI-1207

Due Date(s):

Oct 15

Form Title:	*Private School Report*
Comments:	Private School Enrollment and Schedule
Primary Respondent:	Private educational agencies	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	(608) 267-3166
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Web Application

Form Number:

PI-1208

Due Date(s):

No Due Date Assigned

Form Title:	*School Board Report*
Comments:	DPI obtains data from Wisconsin Association of School Boards in June, October, and February
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Kari Tenley	Phone:	(608) 267-3166
Secondary Contact:	Edstix Helpdesk	Phone:	(608) 267-3166
Response Method:	Print Only Form

Form Number:

PI-1274

Due Date(s):

No Due Date Assigned

Form Title:	*LDS Data Access Request -- District Administrator Authorization*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Information Technology Management
Primary Contact:	Rodney Packard	Phone:	(608) 266-7049
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1274-DAC

Due Date(s):

No Due Date Assigned

Form Title:	*District Assessment Coordinator (DAC) Update*
Comments:	To be completed by all District Assessment Coordinators annually.
Primary Respondent:	Public School Districts	Usage:	External
Division:		Extent:	All Districts
Team/Program:	Office of Educational Accountability
Primary Contact:	Palmer Bell	Phone:	(608) 224-6162
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1274-Del Auth

Due Date(s):

No Due Date Assigned

Form Title:	*LDS Access Request District Administrator Authorization*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Information Technology Management
Primary Contact:	Jared Knowles	Phone:	(608) 266-3569
Secondary Contact:	Melissa Straw	Phone:	(608) 266-1089
Response Method:	Electronic Fillable Form

Form Number:

PI-1274-EXT

Due Date(s):

No Due Date Assigned

Form Title:	*Data Access Request - External*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:
Team/Program:	Information Technology Management
Primary Contact:	Rodney Packard	Phone:	(608) 266-7049
Secondary Contact:	Jared Knowles	Phone:	(608) 266-3569
Response Method:	Electronic Fillable Form

Form Number:

PI-1280

Due Date(s):

Jul 31

Form Title:	*Public School Update*
Comments:	DPI Enterprise Agency Database
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	608-267-3166
Secondary Contact:	Kari Tenley	Phone:	608-267-3166
Response Method:	Web Application

Form Number:

PI-1280-A

Due Date(s):

No Due Date Assigned

Form Title:	*School Closure Due to Threat to Health or Safety of Students -- Instructional Days Missed*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:	All Districts
Team/Program:	Content and Learning
Primary Contact:	Bev Kniess	Phone:	(608) 266-3706
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1281

Due Date(s):

Jun 15

Form Title:	*Private School Update*
Comments:	DPI Enterprise Agency Database (School Directory)
Primary Respondent:	Private educational agencies	Usage:	External
Division:	Libraries, Technology, and Community Learning	Extent:	All Districts
Team/Program:	Data Management and Reporting
Primary Contact:	Lorraine Gardner	Phone:	608-267-3166
Secondary Contact:	Kari Tenley	Phone:	608-267-3166
Response Method:	Web Application

Form Number:

PI-1301-A-13

Due Date(s):

Jan 15

Form Title:	*2012-13 Carl Perkins Basic Grant Application Budget / Budget Modification*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 266-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-A

Due Date(s):

Jan 15

Form Title:	*Carl Perkins Basic Grant Application: Budget/Budget Modification*
Comments:	Fillable Format
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	608-267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-A-13

Due Date(s):

Jan 15

Form Title:	*2012-13 Carl Perkins Basic Grant Application - Budget/Budget Modification*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-C

Due Date(s):

Jan 15

Form Title:	*Carl Perkins Formula Allocation Application for Single Districts/Annual Request for Program of Study Funds*
Comments:	Fillable Format
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marlene Klug	Phone:	608-266-3922
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-C Section XB-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Basic Grant Application, Section X, Programs of Study*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-C Section XC-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Application Local Project Plan for Use of CPA Funds*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-C-13

Due Date(s):

Jan 15

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Single Districts*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-D

Due Date(s):

Mar 1

Form Title:	*Carl Perkins Change in Information*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marilyn Bachim	Phone:	608-267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-D-13

Due Date(s):

Mar 1

Form Title:	*2012-13 Carl Perkins Basic Grant Application Change in Information*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608)267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-E

Due Date(s):

Jan 15

Form Title:	*Carl Perkins Application for State Institutions*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marlene Klug	Phone:	608-266-3922
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-E-13

Due Date(s):

Jan 15

Form Title:	*2012-13 Carl Perkins Application for State Institutions*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608_ 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F

Due Date(s):

Jan 15

Form Title:	*Carl Perkins Formula Allocation Application for Consortiums/Annual Request for Program of Study Funds*
Comments:	Fillable Format
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marlene Klug	Phone:	(608) 266-3922
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F Section I-D-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Consortiums*
Comments:	Section I, Part D Administrative Provisions
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F Section IX-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Consortiums*
Comments:	Section IX Compliance with Core Indicators & State Initiatives
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F Section X-C-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Consortiums*
Comments:	Section X, Part C, Local Project Plan for Use of CPA Funds
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F-13

Due Date(s):

Jan 15

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Consortiums Annual Request for Program of Study Funds*
Comments:
Primary Respondent:	Private educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F-CESA-13

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins Formula Allocation Application for Consortiums*
Comments:	Section XII, Part A, Consortium Contracting
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-F-Consortium-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Formula Allocation Application for Consortiums*
Comments:	Section XII Consortium Contracting
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-G

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins Application Check-Off List*
Comments:	For Local Use Only - Do Not Return to DPI
Primary Respondent:	Public School Districts	Usage:	Local
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1303-G-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Carl Perkins Application Check-Off List*
Comments:	For Local Use Only - Do Not Return to DPI
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1304

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins State Accountability Process: Program of Study / End of Year Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Roselynn Bittorf	Phone:	(608) 266-3922
Secondary Contact:	Denise Byrd	Phone:	(608) 267-2274
Response Method:	Electronic Fillable Form

Form Number:

PI-1306

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins NTO Application STEM - Equity Pipeline Pilot Project*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Barbara Bitters	Phone:	(608) 266-9609
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1307

Due Date(s):

No Due Date Assigned

Form Title:	*Carl Perkins Leadership Application -- External*
Comments:	Must also attach a completed copy of PI-1303-A -- Budget
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1321

Due Date(s):

No Due Date Assigned

Form Title:	*Assistant Child Care Teacher (ACCT) Program Family and Consumer Education Initial Application/Approval/Renewal*
Comments:
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Cheryl Bowes	Phone:	(608) 267-2280
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1330-R

Due Date(s):

Jul 15

Form Title:	*VEERS Composite Enrollment Report*
Comments:	Diskette reporting
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Don Vedder	Phone:	608-267-2279
Secondary Contact:	Robert Enghagen	Phone:	608-267-2275
Response Method:	Electronic Fillable Form

Form Number:

PI-1335-Veers

Due Date(s):

May 1

Form Title:	*Vocational Student Concentrator Completer Graduate Follow-up Survey*
Comments:	paper form generated by system.
Primary Respondent:	Mixture	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Don Vedder	Phone:	608-267-2279
Secondary Contact:	Robert Enghagen	Phone:	608-267-2275
Response Method:	Print Only Form

Form Number:

PI-1341-B

Due Date(s):

No Due Date Assigned

Form Title:	*Status of Carl Perkins Formula Allocation Application for Consortiums*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marilyn Bachim	Phone:	608-267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1341-C

Due Date(s):

No Due Date Assigned

Form Title:	*Status of Carl Perkins Formula Allocation Application for Single Districts*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Marilyn Bachim	Phone:	608-267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1341-C-13

Due Date(s):

No Due Date Assigned

Form Title:	*2012-13 Status of Carl Perkins Formula Allocation Application for Single Districts*
Comments:	Annual Request for Program of Study Funds
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1386

Due Date(s):

Aug 31

Form Title:	*Final Report CTE / CPA State Level Project*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:	Roselyn Bittorf	Phone:	(608) 266-3922
Response Method:	Electronic Fillable Form

Form Number:

PI-1387

Due Date(s):

Aug 31

Form Title:	*Final Report CTSO GPR State Level Project*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:	Roselyn Bittorf	Phone:	(608) 266-3922
Response Method:	Electronic Fillable Form

Form Number:

PI-1403

Due Date(s):

No Due Date Assigned

Form Title:	*Corrective Action Plan -- SFSP*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Amy Kolano	Phone:	608-266-7124
Secondary Contact:	David Dees	Phone:	608-267-9123
Response Method:	Print Only Form

Form Number:

PI-1404-REN Notify Ltr

Due Date(s):

No Due Date Assigned

Form Title:	*Parent/Guardian Notification Letter for Free and Reduced Price Meals or Free Milk*
Comments:	Local Use Only Form
Primary Respondent:	Individuals	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1404-RENPR2

Due Date(s):

Sep 1

Form Title:	*National School Lunch PROV 2 Contract*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Food and Nutrition Services
Primary Contact:	Jessica Sharkus	Phone:	608-266-2416
Secondary Contact:	Melissa Biagtan	Phone:	608-267-9228
Response Method:	Print Only Form

Form Number:

PI-1409

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*Claim Worksheet for NSL, SB, SMP, WMMP, EEN*
Comments:	(National School Lunch, School Breakfast, Special Milk, Wisconsin School Day Milk, Elderly Nutrition)
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Nutrition Services
Primary Contact:	Jacque Jordee	Phone:	608-267-9134
Secondary Contact:	Liz Kane	Phone:	608-264-9331
Response Method:	Print Only Form

Form Number:

PI-1425

Due Date(s):

No Due Date Assigned

Form Title:	*CACFP Agreement Between Sponsor Organization & Day Care Home*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Mike Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1441

Due Date(s):

Oct 31

Form Title:	*School Food Authority-Civil Rights Compliance Self Evaluation Form-National School Lunch Program (NSLP)*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1451

Due Date(s):

No Due Date Assigned

Form Title:	*Elderly Nutritional Program*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1452

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 1, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*CACFP Reimbursement Claim Sponsoring Organizations of Family Day Care Homes*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	(608) 266-5763
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1455

Due Date(s):

No Due Date Assigned

Form Title:	*CACFP Monthly Meal Count Record-Day Care Homes*
Comments:	(Child Care Component)
Primary Respondent:	Adult and Child Day Care Centers	Usage:	Local
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1463

Due Date(s):

Nov 15

Form Title:	*CACFP NonProfit Food Service Financial Report for Independent Agencies*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1463-A

Due Date(s):

Feb 1, May 1, Aug 1, Nov 1

Form Title:	*CACFP Nonprofit Food Service Financial Report for Sponsoring Organizations of Affiliated Centers*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1463-B

Due Date(s):

No Due Date Assigned

Form Title:	*CACFP Nonprofit Food Service Financial Report for Family Day Care Homes*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Cari Muggenburg	Phone:	608 264-9551
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1463-C

Due Date(s):

Feb 1, May 1, Aug 1, Nov 1

Form Title:	*CACFP Nonprofit Food Service Financial Report for Sponsoring Organizations of Unaffiliated Center*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1464

Due Date(s):

No Due Date Assigned

Form Title:	*Application-Agreement-Policy Statement Wisconsin School Day Milk Program*
Comments:
Primary Respondent:	School Administrators and Board Members	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Nutrition Services
Primary Contact:	June Paul	Phone:	608-267-9121
Secondary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Response Method:	Print Only Form

Form Number:

PI-1465

Due Date(s):

No Due Date Assigned

Form Title:	*Application/Agreement/Policy Statement-Special Milk Program*
Comments:
Primary Respondent:	School Administrators and Board Members	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek e.T. Kwawer	Phone:	608-267-9228
Secondary Contact:	Loriann Knapton	Phone:	608-266-1046
Response Method:	Print Only Form

Form Number:

PI-1472

Due Date(s):

No Due Date Assigned

Form Title:	*Application--Day Care Home*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1474

Due Date(s):

Apr 24

Form Title:	*Menu Review*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Trish Briscoe	Phone:	608-266-3874
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1476

Due Date(s):

No Due Date Assigned

Form Title:	*Application Agreement for Program Expansion Payments Family Day Care Home Sponsoring Organizations*
Comments:	Child and Adult Care Food Program (CACFP)
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Michael P Ryan	Phone:	608-267-9130
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1480

Due Date(s):

May 1

Form Title:	*Application--Agreement--Policy Statement, Special Milk Program--Nonschool Programs*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Trish Briscoe	Phone:	608-266-3874
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1480-AP

Due Date(s):

No Due Date Assigned

Form Title:	*Permanent Agreement--Policy Statement Special Milk Program--Nonschool Programs*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Barbara Douglas	Phone:	608-267-9129
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1482

Due Date(s):

No Due Date Assigned

Form Title:	*School Food Service Program: Agreement/Policy*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Amy Kolano	Phone:	608-266-7124
Secondary Contact:	David Dees	Phone:	608-267-9123
Response Method:	Electronic Fillable Form

Form Number:

PI-1482-AP

Due Date(s):

Jun 15

Form Title:	*Summer Food Service Program-- Agreement/Policy Statement*
Comments:
Primary Respondent:	Community Based Organizations	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Amy Kolano	Phone:	(608) 266-7124
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1485-AD

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*Title XIX or XX Eligibility Documentation, Adult Care Component*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Trish Briscoe	Phone:	608-266-3874
Secondary Contact:	David C Dees	Phone:	608-267-9123
Response Method:	Print Only Form

Form Number:

PI-1485-CD

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*Title XX Eligibility Documentation Child Care Component*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Ellen Sullivan	Phone:	608-267-1070
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1486-AP

Due Date(s):

No Due Date Assigned

Form Title:	*Child and Adult Care Food Program Permanent Agreement/Policy Statement*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Food and Nutrition Services
Primary Contact:	Ellen Sullivan	Phone:	608-267-1070
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1487-C

Due Date(s):

No Due Date Assigned

Form Title:	*Child and Adult Care Food Program Site Application-Unaffiliated Child Care Center Component*
Comments:
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Ellen Sullivan	Phone:	608-267-1070
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1488

Due Date(s):

No Due Date Assigned

Form Title:	*Production Records (lunch/supper, breakfast/snack)*
Comments:	Child and Adult Care Food Program (Child Care Center)
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	608-266-5763
Secondary Contact:	Amanda Kane	Phone:	608-267-9123
Response Method:	Electronic Fillable Form

Form Number:

PI-1488-A

Due Date(s):

No Due Date Assigned

Form Title:	*Lunch/Supper Production Records*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	Local
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	608-266-5763
Secondary Contact:	Amanda Kane	Phone:	608-267-9123
Response Method:	Print Only Form

Form Number:

PI-1489

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*CACFP Reimbursement Claim*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	608-266-5763
Secondary Contact:	Amanda Kane	Phone:	608-267-9123
Response Method:	Electronic Fillable Form

Form Number:

PI-1489-A

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*CACFP Reimbursement Claim ( Adult Component)*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	608-266-5763
Secondary Contact:	Amanda kane	Phone:	608-267-9123
Response Method:	Electronic Fillable Form

Form Number:

PI-1489-B

Due Date(s):

Jan 15, Feb 15, Mar 15, Apr 15, May 15, Jun 15, Jul 15, Aug 15, Sep 15, Oct 15, Nov 15, Dec 15

Form Title:	*CACFP Reimbursement Claim (After School Hours Care Site and Emergency Shelter Components)*
Comments:	Child and Adult Care Food Program
Primary Respondent:	Adult and Child Day Care Centers	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Lisa Calderone	Phone:	608-266-5763
Secondary Contact:	Amanda Kane	Phone:	608-267-9123
Response Method:	Electronic Fillable Form

Form Number:

PI-1491

Due Date(s):

No Due Date Assigned

Form Title:	*Certification for Second Month''s Administrative and Operating Advance*
Comments:	Under the Summer Food Service Program for Children
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Amy Kolano	Phone:	608-266-7124
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1492

Due Date(s):

No Due Date Assigned

Form Title:	*Estimated Funding - School Food Service Program*
Comments:
Primary Respondent:		Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Food and Nutrition Services
Primary Contact:	David Dees	Phone:	608-267-9123
Secondary Contact:	David Murray	Phone:	608-266-6856
Response Method:	Print Only Form

Form Number:

PI-1493-D

Due Date(s):

No Due Date Assigned

Form Title:	*Management Evaluation - Special Milk Program*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Secondary Contact:	Loriann Knapton	Phone:	608-266-1046
Response Method:	Print Only Form

Form Number:

PI-1493-F

Due Date(s):

No Due Date Assigned

Form Title:	*Management Evaluation - Special Milk Site Sheet*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Nutrition Services
Primary Contact:	Rek E.T. Kwawer	Phone:	608-267-9228
Secondary Contact:	Loriann Knapton	Phone:	608-266-1046
Response Method:	Print Only Form

Form Number:

PI-1494

Due Date(s):

Jan 10, Feb 10, Mar 10, Apr 10, May 10, Jun 10, Jul 10, Aug 10, Sep 10, Oct 10, Nov 10, Dec 10

Form Title:	*Summer Food Service Program Parent Reimbursement Claim*
Comments:	Due by the tenth of the month following the covered claim month
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	Community Nutrition Services
Primary Contact:	Kimberly Musiedlak	Phone:	(608) 264-9542
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1500

Due Date(s):

No Due Date Assigned

Form Title:	*District Contact Report*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Daryl Miller	Phone:	(608) 266-1389
Secondary Contact:	Brad Adams	Phone:	(608) 267-3752
Response Method:	Web Application

Form Number:

PI-1503

Due Date(s):

No Due Date Assigned

Form Title:	*General Aid Worksheet*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Bradley Adams	Phone:	608-267-3752
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1504

Due Date(s):

Dec 10

Form Title:	*Budget Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Bradley Adams	Phone:	608-267-3752
Secondary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Response Method:	Web Application

Form Number:

PI-1505

Due Date(s):

Oct 1

Form Title:	*Annual Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Bradley Adams	Phone:	608-267-3752
Secondary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Response Method:	Web Application

Form Number:

PI-1505 Calendar

Due Date(s):

Aug 1

Form Title:	*Annual Report Calendar*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Web Application

Form Number:

PI-1505 Census

Due Date(s):

Aug 24

Form Title:	*Annual Report Census*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Lori Ames	Phone:	608-266-3464
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Web Application

Form Number:

PI-1505 Debt

Due Date(s):

No Due Date Assigned

Form Title:	*Annual Report Debt*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Eugene Fornecker	Phone:	608-267-7882
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1505-AC

Due Date(s):

Aug 31

Form Title:	*Annual Report (Aid Certification Data)*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Brad Adams	Phone:	608-267-3752
Secondary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Response Method:	Web Application

Form Number:

PI-1505-SE Annual

Due Date(s):

No Due Date Assigned

Form Title:	*Special Education Fiscal Report - Annual*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Michele Tessner	Phone:	608-267-9218
Secondary Contact:	Lori Ames	Phone:	608-266-3464
Response Method:	Web Application

Form Number:

PI-1505-SE Budget

Due Date(s):

Dec 7

Form Title:	*Special Education Fiscal Report Budget*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Michele Tessner	Phone:	608-267-9218
Secondary Contact:	Lori Ames	Phone:	(608) 266-3464
Response Method:	Web Application

Form Number:

PI-1506

Due Date(s):

Sep 14

Form Title:	*Financial Audit Statement*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Kathy Guralski	Phone:	608-266-3862
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1506-AC

Due Date(s):

Sep 14

Form Title:	*Audited Annual Report (Aid Certification Data)*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Eugene Fornecker	Phone:	608-267-7882
Secondary Contact:	Natalie Rew	Phone:	608-267-9212
Response Method:	Web Application

Form Number:

PI-1506-CESA/CCDEB

Due Date(s):

Oct 31

Form Title:	*CESA/CCDEB Financial Audit Statement and Certification Data*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Kathryn Guralski	Phone:	608-266-3862
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1511

Due Date(s):

Oct 1

Form Title:	*CCDEB Annual Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Kathy Guralski	Phone:	608-266-3862
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1523 Cesa Annual

Due Date(s):

Nov 15

Form Title:	*CESA Annual Report*
Comments:
Primary Respondent:	CESAs	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Kathy Guralski	Phone:	608-266-3862
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1541

Due Date(s):

Oct 15

Form Title:	*Interdistrict Integration Transfer Program Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Lori Ames	Phone:	608-266-3464
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Electronic Fillable Form

Form Number:

PI-1542

Due Date(s):

Oct 15

Form Title:	*Intradistrict Integration Transfer Program Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Lori Ames	Phone:	608-266-3464
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Electronic Fillable Form

Form Number:

PI-1547

Due Date(s):

Aug 1

Form Title:	*Pupil Transportation*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Bruce W. Anderson	Phone:	608-267-9707
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1560

Due Date(s):

Mar 15

Form Title:	*CCDEB General Aid Claim*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Lori Ames	Phone:	608-266-3464
Response Method:	Print Only Form

Form Number:

PI-1561

Due Date(s):

Mar 15

Form Title:	*CCDEB Enrollment/Membership Report*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Lori Ames	Phone:	608-266-3464
Response Method:	Print Only Form

Form Number:

PI-1562

Due Date(s):

Mar 15

Form Title:	*CCDEB Joint Enrollment Membership Report 2003-2004*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Lori Ames	Phone:	608-266-3464
Response Method:	Print Only Form

Form Number:

PI-1563 January

Due Date(s):

Jan 28

Form Title:	*Pupil Count January*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Web Application

Form Number:

PI-1563 September

Due Date(s):

Oct 1

Form Title:	*Pupil Count September*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:	Brad Adams	Phone:	608-267-3752
Response Method:	Web Application

Form Number:

PI-1563 YCA

Due Date(s):

Mar 15

Form Title:	*Pupil Count YCA*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Karen Kucharz Robbe	Phone:	608-267-9707
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1567

Due Date(s):

Oct 1

Form Title:	*Preliminary September Pupil Count Report*
Comments:	(for Milwaukee Parental Choice Program only)
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Management Services
Primary Contact:	Tricia Collins	Phone:	608-266-2853
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1567-MC-2

Due Date(s):

Jan 27

Form Title:	*Second Friday January Pupil Count Report Milwaukee Charter Program*
Comments:	Milwaukee Charter Program
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Management Services
Primary Contact:	Jacque Jordee	Phone:	(608) 267-9134
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1567-MC-3

Due Date(s):

Sep 30

Form Title:	*Third Friday September Pupil Count Report Milwaukee Charter Program*
Comments:	Milwaukee Charter Program
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Management Services
Primary Contact:	Jacque Jordee	Phone:	(608) 267-9134
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1567-MC-P

Due Date(s):

Sep 9

Form Title:	*Preliminary September Pupil Count Report Milwaukee Charter Program*
Comments:	Milwaukee Charter Program
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Management Services
Primary Contact:	Jacque Jordee	Phone:	(608) 267-9134
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1570

Due Date(s):

Dec 1

Form Title:	*High Cost Special Education Initiative Claim Form*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Special Education
Primary Contact:	Rachel Zellmer	Phone:	608-266-1787
Secondary Contact:	Marge Schenk	Phone:	608-267-9176
Response Method:	Web Application

Form Number:

PI-1572-A

Due Date(s):

No Due Date Assigned

Form Title:	*Notification of Referendum for Long-Term Debt*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Eugene Fornecker	Phone:	608-267-7882
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1572-B

Due Date(s):

No Due Date Assigned

Form Title:	*Notification of Referendum to Exceed Revenue Limits*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Eugene Fornecker	Phone:	608-267-7882
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1573

Due Date(s):

No Due Date Assigned

Form Title:	*Precollege Scholarship Application*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	608-267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1573-A

Due Date(s):

No Due Date Assigned

Form Title:	*Verification of Attendance in the Precollege Scholarship Program*
Comments:	Complete ten days after the end of your program.
Primary Respondent:	Higher educational institutions	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1573-B

Due Date(s):

No Due Date Assigned

Form Title:	*Certification of Recruitment in the Precollege Scholarship Program*
Comments:	Complete fifteen days before your program begins.
Primary Respondent:	Higher educational institutions	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1573-Spanish

Due Date(s):

No Due Date Assigned

Form Title:	*Precollege Scholarship Application*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1574

Due Date(s):

Nov 12

Form Title:	*Precollege Scholarship Program Proposal Application*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1574-A

Due Date(s):

Nov 12

Form Title:	*Individual Precollege Program Data*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Mary Lou Hyatt	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1574-B

Due Date(s):

Dec 3

Form Title:	*Precollege Proposal Application Review Criteria*
Comments:	This form is used by designated reviewers as they read the submitted PI-1574 Applications.
Primary Respondent:	Individuals	Usage:	External
Division:		Extent:
Team/Program:	WI Education Opportunity and Office of Urban Education
Primary Contact:	Angie Scott	Phone:	(608) 267-9161
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1588

Due Date(s):

No Due Date Assigned

Form Title:	*Grant for Supplemental Payment*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Brad Adams	Phone:	608-267-3752
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1589

Due Date(s):

Jun 21

Form Title:	*Group and Foster Home FTE Log*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Jerry Landmark	Phone:	608-267-9209
Secondary Contact:	Trish Hibbard	Phone:	608-267-9114
Response Method:	Electronic Fillable Form

Form Number:

PI-1602

Due Date(s):

No Due Date Assigned

Form Title:	*Educator License Application Forms (PI-1602 series)*
Comments:
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Educator Licensing	Phone:	608-266-1027
Secondary Contact:	Educator Licensing	Phone:	800-266-1027
Response Method:	Print Only Form

Form Number:

PI-1602-INTERN

Due Date(s):

No Due Date Assigned

Form Title:	*Intern License Application*
Comments:	Wisconsin Improvement Program (WIP) interns only
Primary Respondent:	Students	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Mark Schwingle	Phone:	608-266-1633
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1613

Due Date(s):

No Due Date Assigned

Form Title:	*Employment Verification*
Comments:	Required with certain PI 1602 educator license applications
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Educator Licensing	Phone:	608-266-1027
Secondary Contact:	Educator Licensing	Phone:	800-266-1027
Response Method:	Electronic Fillable Form

Form Number:

PI-1620

Due Date(s):

No Due Date Assigned

Form Title:	*License Review Referral*
Comments:	Report of Misconduct by School District Employee
Primary Respondent:	School Administrators and Board Members	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Judy Peppard	Phone:	608-266-1879
Secondary Contact:	Courtney Spitz	Phone:	608-264-9339
Response Method:	Print Only Form

Form Number:

PI-1640

Due Date(s):

Oct 16

Form Title:	*Mentoring Grant for Initial Educators*
Comments:
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Mary Benzine	Phone:	608 266-0954
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1654

Due Date(s):

No Due Date Assigned

Form Title:	*Peer Review & Mentor Grant Application Budget Submission for Discretionary State/Federal Programs*
Comments:	Educator Effectiveness
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Educator Effectiveness
Primary Contact:	Laura Ruckert	Phone:	(608) 266-8808
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1656

Due Date(s):

Apr 19

Form Title:	*Equivalency Review Application for Alternative Models of Practice*
Comments:	Educator Effectiveness
Primary Respondent:	Public School Districts and 2R Charter Schools	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Educator Effectiveness
Primary Contact:	Katharine Rainey	Phone:	(608) 267-0392
Secondary Contact:	Laura Ruckert	Phone:	(608) 266-8808
Response Method:	Electronic Fillable Form

Form Number:

PI-1662-A

Due Date(s):

No Due Date Assigned

Form Title:	*Non-Release of Personally Identifiable Data*
Comments:	Used only by persons whose life or safety would be endangered by release of home address or phone
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Courtney Spitz	Phone:	608-264-9339
Secondary Contact:	Educator Licensing	Phone:	608-266-1027
Response Method:	Print Only Form

Form Number:

PI-1662-B

Due Date(s):

No Due Date Assigned

Form Title:	*Rescind Prior PI-1662-A Request for Non-Release of Personally Identifiable Data*
Comments:	This paper form is automatically mailed to those who submitted a PI-1662-A to the department.
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Courtney Spitz	Phone:	608-264-9339
Secondary Contact:	Educator Licensing	Phone:	608-266-1027
Response Method:	Print Only Form

Form Number:

PI-1669-Annual

Due Date(s):

No Due Date Assigned

Form Title:	*National Teacher Certification by NBPTS - Annual Grant/Stipend Application*
Comments:	Paper Only - The department mails this form to National Board Certified Teachers (NBCTs).
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Charlene Koci	Phone:	608-267-9215
Secondary Contact:	Elaine Strom	Phone:	608-266-3089
Response Method:	Electronic Fillable Form

Form Number:

PI-1669-Initial

Due Date(s):

No Due Date Assigned

Form Title:	*National Teacher Certification by NBPTS - Initial Reimbursement Grant Application*
Comments:	Paper Only - The department mails this form to National Board Certified Teachers (NBCTs).
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Charlene Koci	Phone:	608-267-9215
Secondary Contact:	Elaine Strom	Phone:	608-266-3089
Response Method:	Print Only Form

Form Number:

PI-1675

Due Date(s):

Dec 15

Form Title:	*PI-1675 District Development Levels Aligned to Grades in PI 34.27.29*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Mark Schwingle	Phone:	(608) 266-1633
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1690

Due Date(s):

No Due Date Assigned

Form Title:	*Wisconsin Intern Program / Teaching Intern Request*
Comments:	Used by school districts to submit a request for a Wisconsin Improvement Program (WIP) intern
Primary Respondent:	School Administrators and Board Members	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Mark Schwingle	Phone:	608-266-1633
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1692

Due Date(s):

Apr 15

Form Title:	*Application for Support of Professional Development Funds - WI Improvement Program (WIP)*
Comments:
Primary Respondent:	Mixture	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Teacher Education, Professional Development and Licensing
Primary Contact:	Mark Schwingle	Phone:	608-266-1633
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

PI-1709

Due Date(s):

May 15, Aug 15

Form Title:	*Driver Education Program Application*
Comments:	May 15 Due Date - Summer Program; Aug 15 Due Date - Fall Program
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Randall Thiel	Phone:	608-266-9677
Secondary Contact:	Karen Jensen	Phone:	608-267-9239
Response Method:	Web Application

Form Number:

PI-1714

Due Date(s):

No Due Date Assigned

Form Title:	*Wisconsin Driver Education Certificate*
Comments:
Primary Respondent:	Public educational agencies	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Randall Thiel	Phone:	608-266-9677
Secondary Contact:	Karen Jensen	Phone:	608-267-9239
Response Method:	Print Only Form

Form Number:

PI-1715

Due Date(s):

May 15, Aug 15

Form Title:	*Application for Driver Education Certificates*
Comments:	May 15 Due Date - Summer Program; Aug 15 Due Date - Fall Program
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Randall Thiel	Phone:	608-266-9677
Secondary Contact:	Karen Jensen	Phone:	608-267-9239
Response Method:	Print Only Form

Form Number:

PI-1716

Due Date(s):

No Due Date Assigned

Form Title:	*Application for High School Equivalency Diploma and/or Certificate of General Educational Development*
Comments:	Used by GED Testing Centers only; paper copy must be requested.
Primary Respondent:	Not Applicable	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Bob Enghagen	Phone:	608-267-2275
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1717

Due Date(s):

No Due Date Assigned

Form Title:	*Migrant Continuing Enrollment/Residency Report*
Comments:
Primary Respondent:	Educators/Teachers	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Vacant	Phone:	(608) 266-0925
Response Method:	Electronic Fillable Form

Form Number:

PI-1727

Due Date(s):

No Due Date Assigned

Form Title:	*Certificate of Eligibility --Title I Migrant Education Program*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Supplemental Programs
Primary Contact:	Angela Smith	Phone:	(608) 266-0925
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

PI-1729

Due Date(s):

No Due Date Assigned

Form Title:	*Migrant Education Local Accounting Sheet*
Comments:	Report within 30 days of projects closure
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1730

Due Date(s):

Jun 1

Form Title:	*Title I Part C�Education of Migratory Children Local Project Application�Summer*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Vacant	Phone:	(608) 266-0925
Response Method:	Print Only Form

Form Number:

PI-1732

Due Date(s):

No Due Date Assigned

Form Title:	*Student Reporting Form�Title I Migrant*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Vacant	Phone:	(608) 266-0925
Response Method:	Electronic Fillable Form

Form Number:

PI-1734-A

Due Date(s):

Aug 31

Form Title:	*Title I, Part D, Subpart 1, Neglected and Delinquent Adult Corrections (State Agency) Wis. Dept. Corrections Application*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Jessica Bartelt	Phone:	(608) 266-9629
Response Method:	Electronic Fillable Form

Form Number:

PI-1734-B

Due Date(s):

Aug 31

Form Title:	*Title I, Part D, Subpart I�Neglected and Delinquent �Juvenile and Adults Application*
Comments:	Respondent is both Public and Private educational agencies
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Jessica Bartelt	Phone:	(608) 266-9629
Response Method:	Electronic Fillable Form

Form Number:

PI-1739

Due Date(s):

No Due Date Assigned

Form Title:	*Title I , Part C Education of Migratory Children Project Evaluation*
Comments:	Summer and Regular-Term Projects
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Vacant	Phone:	(608) 266-0925
Response Method:	Electronic Fillable Form

Form Number:

PI-1753

Due Date(s):

Apr 15

Form Title:	*Title I Comparability Report*
Comments:	This includes Charts A, B, C ---- Notice of Status (Chart A) and Criteria for Demonstrating Comparability (Charts B and C)
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Jill Underly	Phone:	(608) 266-3892
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1753-A

Due Date(s):

Nov 1

Form Title:	*Title I, Part A Comparability Report Chart A Notice of Status*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Sam Aquino Drohin	Phone:	(608) 266-4499
Response Method:	Electronic Fillable Form

Form Number:

PI-1753-B

Due Date(s):

Nov 1

Form Title:	*Title I Comparability Determination Chart B Criteria for Demonstrating Comparability*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Sam Aquino Drohin	Phone:	(608) 266-4499
Response Method:	Electronic Fillable Form

Form Number:

PI-1753-C

Due Date(s):

Nov 1

Form Title:	*Title I Comparability Determination Chart C Criteria for Demonstrating Comparability*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:	Sam Aquino Drohin	Phone:	(608) 266-4499
Response Method:	Electronic Fillable Form

Form Number:

PI-1783

Due Date(s):

No Due Date Assigned

Form Title:	*Preliminary Application for the High School Equivalency Diploma or the Certificate of General Educational Development*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Bob Enghagen	Phone:	608-267-2275
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1785

Due Date(s):

Dec 5

Form Title:	*Annual Survey of Children in Local Institutions for Neglected or Delinquent Children*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1786

Due Date(s):

Dec 5

Form Title:	*Annual Survey of Children in Institutions Operated or Supported by a State Agency for Neglected or Delinquent Children*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Student and School Success	Extent:
Team/Program:	Title I and School Support
Primary Contact:	Myrna Toney	Phone:	(608) 266-2690
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1803-AG

Due Date(s):

No Due Date Assigned

Form Title:	*Equivalent Options for Agriculture / Science*
Comments:	Applicants will be notified within 60 days for verification of receipt of equivalent application.
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Jeff Hicken	Phone:	(608) 267-9255
Secondary Contact:	Shelley Lee	Phone:	(608) 266-3319
Response Method:	Electronic Fillable Form

Form Number:

PI-1803-BMIT

Due Date(s):

No Due Date Assigned

Form Title:	*Equivalent Options for Business and Information Technology / Marketing*
Comments:	Applicants will be notified within 60 days for verification of receipt of equivalent application.
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Timothy Fandek	Phone:	(608) 267-9253
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1803-FS

Due Date(s):

No Due Date Assigned

Form Title:	*Equivalent Options for Food Service*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Diane Ryberg	Phone:	(608) 267-9088
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1803-TE

Due Date(s):

No Due Date Assigned

Form Title:	*Equivalent Options for Technology Education*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Brent Kindred	Phone:	(608) 266-2683
Secondary Contact:	Shelly Lee	Phone:	(608) 266-3319
Response Method:	Electronic Fillable Form

Form Number:

PI-1803-TE-PLTW

Due Date(s):

No Due Date Assigned

Form Title:	*Equivalent Options for Technology Education Project Lead the Way (PLTW)*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Brent Kindred	Phone:	(608) 266-2683
Secondary Contact:	Christina Hinkley	Phone:	(608) 266-7262
Response Method:	Electronic Fillable Form

Form Number:

PI-1804

Due Date(s):

Oct 1

Form Title:	*Summer School*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:	All Districts
Team/Program:	School Financial Services
Primary Contact:	Bradley Adams	Phone:	608-267-3752
Secondary Contact:	David Carlson	Phone:	608-266-6968
Response Method:	Web Application

Form Number:

PI-1805

Due Date(s):

Oct 1

Form Title:	*Summer School -- ITP Summary*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Finance and Management	Extent:
Team/Program:	School Financial Services
Primary Contact:	Bradley Adams	Phone:	608-267-3752
Secondary Contact:		Phone:
Response Method:	Web Application

Form Number:

PI-1806

Due Date(s):

Mar 1

Form Title:	*State Superintendent''s Business Friends of Education Award Nomination*
Comments:
Primary Respondent:	Community Based Organizations	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Career and Technical Education
Primary Contact:	Denise Byrd	Phone:	(608) 267-2274
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1809

Due Date(s):

No Due Date Assigned

Form Title:	*Alcohol and Other Drug Abuse Fellowship Program Application*
Comments:	Ongoing - Open Enrollment
Primary Respondent:	Educators/Teachers	Usage:	Local
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Shelly Greller	Phone:	608-267-9244
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1813

Due Date(s):

No Due Date Assigned

Form Title:	*State AODA Grants Renewal Form*
Comments:	Used in alternate years to PI-1816 for 2nd year of grant.
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Ken Wagner	Phone:	608-266-5181
Secondary Contact:	Elizabeth Pease	Phone:	608-267-9290
Response Method:	Electronic Fillable Form

Form Number:

PI-1815

Due Date(s):

No Due Date Assigned

Form Title:	*Application for School Counseling Internship*
Comments:
Primary Respondent:	Individuals	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Gary Spear	Phone:	608-266-2829
Secondary Contact:		Phone:
Response Method:	Print Only Form

Form Number:

PI-1816

Due Date(s):

Oct 14

Form Title:	*Grant Application: Alcohol and Other Drug Abuse Grant*
Comments:	Two-Year grant period, second year renewal grants use PI-1813.
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Ken Wagner	Phone:	608-266-5181
Secondary Contact:	Elizabeth Pease	Phone:	608-267-9240
Response Method:	Electronic Fillable Form

Form Number:

PI-1824

Due Date(s):

No Due Date Assigned

Form Title:	*Budget Change Request for State Alcohol and Tobacco Grant Programs*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Ken Wagner	Phone:	608-266-5181
Secondary Contact:	Elizabeth Pease	Phone:	608-267-9240
Response Method:	Electronic Fillable Form

Form Number:

PI-1824-B

Due Date(s):

No Due Date Assigned

Form Title:	*Budget Change Request for Strategies for Active Schools*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Elizabeth Pease	Phone:	(608) 267-9240
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1833

Due Date(s):

Jul 18

Form Title:	*ApplicationWisconsin Head Start Program State Supplement*
Comments:
Primary Respondent:	Community Based Organizations	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Content and Learning
Primary Contact:	Jill Hagland	Phone:	(608) 267-9625
Secondary Contact:	Steve Kretzmann	Phone:	(608) 267-9278
Response Method:	Electronic Fillable Form

Form Number:

PI-1840

Due Date(s):

Jun 20

Form Title:	*Safe and Supportive School Grant Application*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Elizabeth Pease	Phone:	(608) 267-9290
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1841

Due Date(s):

Feb 17

Form Title:	*Safe and Supportive Schools Interim Report*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Elizabeth Pease	Phone:	(608) 267-9290
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1842

Due Date(s):

Jun 29

Form Title:	*Safe and Supportive Schools Grant End-of-Year Report*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Learning Support: Equity and Advocacy	Extent:
Team/Program:	Student Services, Prevention, and Wellness
Primary Contact:	Lori Stern	Phone:	(608) 264-9550
Secondary Contact:	Elizabeth Pease	Phone:	(608) 267-9240
Response Method:	Electronic Fillable Form

Form Number:

PI-1849

Due Date(s):

Jun 30

Form Title:	*Plan of Services -- Bilingual/Bicultural Education*
Comments:
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:	All Districts
Team/Program:	Content and Learning
Primary Contact:	Tolu Sanabria	Phone:	608-267-9235
Secondary Contact:		Phone:
Response Method:	Print Only Form Electronic Fillable Form

Form Number:

PI-1849-A

Due Date(s):

No Due Date Assigned

Form Title:	*Request for Exemption/Approval to Hire ESL-Certified Teachers*
Comments:	Does not apply to Spanish bilingual programs
Primary Respondent:	Public educational agencies	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Content and Learning
Primary Contact:	Tolu Sanabria	Phone:	608-267-9235
Secondary Contact:		Phone:
Response Method:	Electronic Fillable Form

Form Number:

PI-1857

Due Date(s):

Jun 20

Form Title:	*Wisconsin Early Language Learning (WELL) District Grant Application*
Comments:
Primary Respondent:	Public School Districts	Usage:	External
Division:	Academic Excellence	Extent:
Team/Program:	Content and Learning
Primary Contact:	Pamela Delfosse	Phone:	(608) 266-3079
Secondary Contact:	Roselynn Bittorf	Phone:	(608) 267-9279
Response Method: