All DPI Data Collections
Return to Main Menu | Help and Instructions | Exit Application 
* 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 HTML File           
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 MicroSoft Word File           
Form Number: DPI-0002 Due Date(s): Aug 31
Form Title: Title I, Part D, Subpart 2 -- Neglected and Delinquent Program Application Supplemental Amendment to Access ARRA Funds
Comments: All ARRA funds must be obligated by September 30, 2011.
Primary Respondent: Public educational agencies Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Kathryn Olsen Phone: (608) 266-9629
Secondary Contact: Myrna Toney Phone: (608) 266-2690
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0003 Due Date(s): No Due Date Assigned
Form Title: American Recovery and Reinvestment Act of 2009 (ARRA) -- Education for Homeless Children and Youth (EHCY) Application
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Mary Maronek Phone: (608) 261-6322
Secondary Contact: Kathy Trotta Phone: (608) 266-1863
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0003 Budget Summary Due Date(s): No Due Date Assigned
Form Title: Budget Summary / American Recovery and Reinvestment Act of 2009 (ARRA) Education for Homeless Children and Youth
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Mary Maronek Phone: (608) 261-6322
Secondary Contact: Kathy Trotta Phone: (608) 266-1863
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0004 Due Date(s): Jun 12
Form Title: American Recovery and Reinvestment Act of 2009 (ARRA) Education for Homeless Children and Youth (EHCY) District Plan and Evaluation
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Mary Maronek Phone: (608) 261-6322
Secondary Contact: Kathy Trotta Phone: (608) 266-1863
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0006 Due Date(s): Oct 9
Form Title: Title I, Part A, Section 1003(a) Supplemental Grant ARRA Application
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Shelly Babler Phone: (608) 267-1067
Secondary Contact: Mackenzie Dunn Phone: (608) 267-7461
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0006-SSIF-CO Due Date(s): May 27
Form Title: Title I, 1003(a) ARRA Supplemental Grant Carry-Over Application
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Shelly Babler Phone: (608) 267-1067
Secondary Contact: Mackenzie Dunn Phone: (608) 267-7461
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File           
Form Number: DPI-0009 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A / ARRA Waiver Per Pupil Amount for Supplemental Education Services (SES)
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Naomi Gray Phone: 608-266-4499
Secondary Contact: Jamie Boyd Phone: (608) 266-3983
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0010 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A / ARRA Waiver 10% Professional Development Set-Aside (DIFI)
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Naomi Gray Phone: 608-266-4499
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0011 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A / ARRA Waiver 20% Set-Aside for Choice and Supplemental Educational Services (SES)
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Office of the State Superintendent Extent:
Team/Program: Title I and School Support
Primary Contact: Naomi Gray Phone: 608-266-4499
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0012 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A / ARRA Waiver 10% Professional Development Set-Aside (SIFI)
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Naomi Gray Phone: 608-266-4499
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0013 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A / ARRA Waiver
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Extent:
Team/Program: Title I and School Support
Primary Contact: Naomi Gray Phone: 608-266-4499
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File           
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 HTML File           
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 MicroSoft Word File           
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: Extent:
Team/Program: Title I and School Support
Primary Contact: Jonas Zuckerman Phone: (608) 267-9136
Secondary Contact: Lara Kain Phone: (608) 267-7338
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File           
Form Number: DPI-0020 Due Date(s): Mar 18
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: Kim Jenkins Phone: (608) 267-9216
Secondary Contact: Elizabeth McClure Phone: (608) 261-6324
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: DPI-0021 Due Date(s): Jun 30
Form Title: ARRA Title I, Part A, Section 1003(a) Supplemental Grant End-of-Year Report
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Student and School Success Extent:
Team/Program: Title I and School Support
Primary Contact: Shelly Babler Phone: 608-267-1067
Secondary Contact: Mackenzie Dunn Phone: 608-267-7461
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File      Electronic Fillable Form MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Word File           
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 HTML File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File                 
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 Acrobat File      Electronic Fillable Form MicroSoft Excel File           
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 MicroSoft Word File                 
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 MicroSoft Word File           
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 Acrobat File                 
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 Acrobat File                 
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 HTML File           
Form Number: PI-1201 Due Date(s): May 15
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: Kathleen Culbertson Phone: (608)267-3166
Response Method: Print Only Form                 
Form Number: PI-1201-A Due Date(s): Jul 1
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: Kathleen Culbertson 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: Tiffany Boyd Phone: (608) 267-3166
Response Method:             Web Application Web App File     
Form Number: PI-1203 Due Date(s): May 15
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: Libraries, Technology, and Community Learning Extent: All Districts
Team/Program: Data Management and Reporting
Primary Contact: Kathleen Culbertson Phone: (608)267-3166
Secondary Contact: Lorraine Gardner Phone: (608)267-3166
Response Method: Print Only Form                 
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: Kathleen Culbertson Phone: (608) 267-3166
Secondary Contact: Tiffany Boyd Phone: (608) 267-9162
Response Method: Print Only Form                 
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 and publishes to the Web.
Primary Respondent: Public educational agencies Usage: External
Division: Libraries, Technology, and Community Learning Extent: All Districts
Team/Program: Data Management and Reporting
Primary Contact: Kathleen Culbertson Phone: (608)267-3166
Secondary Contact: Tiffany Boyd Phone: (608) 267-3166
Response Method: Print Only Form                 
Form Number: PI-1215 Due Date(s): Mar 15
Form Title: Course Offerings 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: Lorraine Gardner Phone: 608-267-3166
Secondary Contact: Kathleen Culbertson Phone: 608-267-3166
Response Method:       Electronic Fillable Form MicroSoft Excel File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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: Melissa Straw Phone: (608) 266-1089
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File           
Form Number: PI-1280 Due Date(s): Jul 1
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: Kathleen Culbertson Phone: 608-267-3166
Response Method: Print Only Form                 
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 MicroSoft Word File           
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: Kathleen Culbertson Phone: 608-267-3166
Response Method: Print Only Form                 
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Excel File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Excel File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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: Marlene Klug Phone: (608) 266-3922
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
Form Number: PI-1304-Section2 Due Date(s): No Due Date Assigned
Form Title: Carl Perkins State Accountability Process: Program of Study / End-of-Year Report - Section II (only)
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 MicroSoft Word File           
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 HTML File           
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 MicroSoft Word File           
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 MicroSoft Word File                 
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 Acrobat File                 
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 MicroSoft Word File           
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 MicroSoft Word File                 
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 Acrobat File                 
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 MicroSoft Word File           
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 MicroSoft Word File                 
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: Mike Ryan Phone: 608-267-9130
Secondary Contact: David Dees Phone: 608-267-9123
Response Method:       Electronic Fillable Form MicroSoft Word File           
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 MicroSoft Word File                 
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File           
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 MicroSoft Word File