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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 and Technology Extent:
Team/Program: Content and Learning
Primary Contact: Neldine Nichols Phone: (608) 266-1045
Secondary Contact: Phone:
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 and Technology 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-0013 Due Date(s): No Due Date Assigned
Form Title: Title I, Part A, Carryover Waiver
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Student and School Success Extent:
Team/Program: Title I and School Support
Primary Contact: Jessica Bartelt Phone: (608) 266-3608
Secondary Contact: Michael Dennison Phone: (608) 267-3721
Response Method:       Electronic Fillable Form MicroSoft Word 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: 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 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 and Technology 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): 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 MicroSoft Word File           

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 MicroSoft Word File           

Form Number: DPI-0022 Due Date(s): Jun 28
Form Title: Title I, 1003(g), Sustainability Planning Grant
Comments:
Primary Respondent: Public educational agencies Usage: External
Division: Student and School Success Extent:
Team/Program: Title I and School Support
Primary Contact: Jonas Zuckerman Phone: (608) 267-9136
Secondary Contact: Jeff Durston Phone: (608) 267-9141
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: PI-00047 Due Date(s): Dec 31
Form Title: Health Service Report
Comments: This is a voluntary report
Primary Respondent: Public educational agencies Usage: External
Division: Learning Support: Equity and Advocacy Extent:
Team/Program: Student Services, Prevention, and Wellness
Primary Contact: Bette Carr Phone: (608) 266-8857
Secondary Contact: Phone:
Response Method:             Web Application Web App 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-1146 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: Erin Fath Phone: (608) 267-9209
Secondary Contact: Phone:
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): 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 and Technology Extent: All Districts
Team/Program: Customer Services
Primary Contact: Lorraine Gardner Phone: (608) 267-1071
Secondary Contact: Edstix Helpdesk Phone: (608) 267-3166
Response Method:             Web Application Web App File     

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 and Technology Extent:
Team/Program: Customer Services
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 and Technology 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 Web App File     

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: Customer Services
Primary Contact: Lorraine Gardner Phone: (608) 267-3166
Secondary Contact: Edstix Helpdesk Phone: (608) 267-3166
Response Method:             Web Application Web App File     

Form Number: PI-1207 Due Date(s): Oct 15
Form Title: Private School Report
Comments: Private School Enrollment , Schedule, and Graduates
Primary Respondent: Private educational agencies Usage: External
Division: Libraries and Technology Extent: All Districts
Team/Program: Customer Services
Primary Contact: Lorraine Gardner Phone: (608) 267-3166
Secondary Contact: Edstix Helpdesk Phone: (608) 267-3166
Response Method:             Web Application Web App File     

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 and Technology 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: Print Only Form HTML File                 

Form Number: PI-1215 Due Date(s): Mar 15
Form Title: High School Graduation Requirements
Comments: Graduation requirements only; remainder supplanted by CWCS
Primary Respondent: Public School Districts and 2R Charter Schools Usage: External
Division: Libraries and Technology Extent: All Districts
Team/Program: Data Management and Reporting
Primary Contact: Lorraine Gardner Phone: (608) 267-1071
Secondary Contact: Edstix Helpdesk Phone: (608) 267-3166
Response Method:             Web Application Web App File     

Form Number: PI-1220 Due Date(s): Sep 12
Form Title: Nomination Standing Up for Rural Wisconsin
Comments:
Primary Respondent: Mixture Usage: External
Division: Academic Excellence Extent:
Team/Program: Career and Technical Education
Primary Contact: Christine Smith Phone: (608) 267-0360
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1274 Due Date(s): No Due Date Assigned
Form Title: Data Access Request -- District Administrator Authorization
Comments:
Primary Respondent: Public School Districts Usage: External
Division: Libraries and Technology Extent:
Team/Program: Data Management and Reporting
Primary Contact: Rich Jorgensen Phone: (608) 266-3108
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: Student and School Success Extent: All Districts
Team/Program: Office of Educational Accountability
Primary Contact: Debbie Gaffney-Dilley Phone: (608) 227-1072
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 Training - External
Comments:
Primary Respondent: Mixture Usage: External
Division: Libraries and Technology Extent:
Team/Program: Data Management and Reporting
Primary Contact: Christopher Sullivan Phone: (608) 266-3701
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 and Technology Extent: All Districts
Team/Program: Customer Services
Primary Contact: Lorraine Gardner Phone: 608-267-3166
Secondary Contact: Kari Tenley Phone: 608-267-3166
Response Method:             Web Application Web App File     

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-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 Excel 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 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-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: Denise Byrd Phone: (608) 266-2274
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 Due Date(s): No Due Date Assigned
Form Title: Carl Perkins Application Noncompliance with Federal CPA Core Indicators and State Initiatives
Comments: Fed. Req. #2
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 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 Excel 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: Roselynn Bittorf Phone: (608) 266-3922
Secondary Contact: Denise Byrd Phone: (608) 267-2274
Response Method:       Electronic Fillable Form HTML 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-1311 Due Date(s): No Due Date Assigned
Form Title: Carl Perkins Application POS Listing
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 Excel 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-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 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: Roselyn Bittorf Phone: (608) 266-3922
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: Allison Pfaff Phone: (608) 267-1066
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1450 Due Date(s): Apr 1
Form Title: Direct Certification School-Level Data Report
Comments:
Primary Respondent: School Food Authority Usage: External
Division: Finance and Management Extent:
Team/Program: School Nutrition Services
Primary Contact: Karrie Isaacson Phone: (608) 267-0363
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form HTML 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: Lisa Calderone Phone: (608) 266-5763
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1463 Due Date(s): Nov 1
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                 

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 MicroSoft Word File                 

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 MicroSoft Word File                 

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 MicroSoft Word File                 

Form Number: PI-1478 Due Date(s): No Due Date Assigned
Form Title: School Food Authority Paid Lunch Equity Exemption Request
Comments:
Primary Respondent: School Food Authority Usage: External
Division: Finance and Management Extent:
Team/Program: School Nutrition Services
Primary Contact: Karrie Isaacson Phone: (608) 267-0363
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File                 

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File                 

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File                 

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 MicroSoft Word File                 

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 MicroSoft Word File                 

Form Number: PI-1498 Due Date(s): No Due Date Assigned
Form Title: Community Nutrition Order Form
Comments:
Primary Respondent: Community Based Organizations Usage: External
Division: Finance and Management Extent:
Team/Program: Community Nutrition Services
Primary Contact: Amanda Kane Phone: (608) 267-9123
Secondary Contact: Kathy Culbertson Phone: (608) 266-1045
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 Web App File     

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 MicroSoft Excel File           

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 MicroSoft Excel File           

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 MicroSoft Excel File           

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 MicroSoft Excel File           

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 MicroSoft Excel File           

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 Web App File     

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 Acrobat File                 

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 Acrobat File                 

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 Acrobat File                 

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 Web App File     

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 Web App File     

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 Web App File     

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 MicroSoft Excel File           

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 MicroSoft Word File                 

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 MicroSoft Word File                 

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 MicroSoft Word File                 

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 Web App File     

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 Web App File     

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 Web App File     

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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: 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 MicroSoft Word File           

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 MicroSoft Excel File           

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: Bob Soldener Phone: 608-267-9209
Secondary Contact: Trish Hibbard Phone: 608-267-9114
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 HTML File                 

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 Web App File     

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 HTML File           

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 HTML File                 

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 HTML File           

Form Number: PI-1656 Due Date(s): Mar 15
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: Jake Hollnagel Phone: (608) 266-5195
Secondary Contact: Laura Ruckert Phone: (608) 266-8808
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1657 Due Date(s): Jul 31
Form Title: Peer Review Mentor Grant Application (PRMG)
Comments:
Primary Respondent: Public educational agencies Usage: External
Division: Academic Excellence Extent:
Team/Program: Educator Effectiveness
Primary Contact: Jacob Hollnagel Phone: (608) 267-3750
Secondary Contact: Katharine Rainey Phone: (608) 267-9551
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 HTML File                 

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 HTML File                 

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 HTML File           

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 HTML File                 

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 HTML File                 

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 Web App File     

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 Acrobat File      Electronic Fillable Form MicroSoft Word File           

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: Mark Freudenberg Phone: 608-267-9239
Response Method:             Web Application Web App File     

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: Mark Freudenberg 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: Mark Freudenberg 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
Primary Respondent: Not Applicable Usage: External
Division: Academic Excellence Extent:
Team/Program: Career and Technical Education
Primary Contact: Beth Lewis Phone: (608) 267-1062
Secondary Contact: Phone:
Response Method: Print Only Form Acrobat File                 

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 MicroSoft Word File           

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: Title I and School Support
Primary Contact: Angela Smith Phone: (608) 266-0925
Secondary Contact: Phone:
Response Method: Print Only Form Acrobat File      Electronic Fillable Form MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

Form Number: PI-1739-RT Due Date(s): Aug 29
Form Title: Project Evaluation End-of-Year Report Title I, Part C, Education of Migratory Children (Regular Term)
Comments: Copy of completed form should be maintained by applicant agency for six years.
Primary Respondent: Public educational agencies Usage: External
Division: Student and School Success Extent:
Team/Program: Title I and School Support
Primary Contact: Alfonso Zepeda Capistrán Phone: (608) 267-2287
Secondary Contact: Myrna Toney Phone: (608) 266-2690
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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: Must be completed and submitted to the GED examiner prior to testing.
Primary Respondent: Individuals Usage: External
Division: Academic Excellence Extent:
Team/Program: Career and Technical Education
Primary Contact: Beth Lewis Phone: (608) 267-1062
Secondary Contact: Phone:
Response Method: Print Only Form Acrobat File                 

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-1800 Budget Due Date(s): No Due Date Assigned
Form Title: In-School Pregnant / Parenting Inverventions, Resources, and Education Project Budget Chane Request
Comments:
Primary Respondent: Public educational agencies Usage: External
Division: Learning Support: Equity and Advocacy Extent:
Team/Program: Student Services, Prevention, and Wellness
Primary Contact: Emily Holder Phone: (608) 267-9170
Secondary Contact: Adam Farrell Wortman Phone: (608) 267-9354
Response Method:       Electronic Fillable Form MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 MicroSoft Word File           

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 Web App File     

Form Number: PI-1804-W1 Due Date(s): No Due Date Assigned
Form Title: Interim Session Membership
Comments: Due at the same time as the 3rd Friday September Pupil Count
Primary Respondent: Public educational agencies Usage: External
Division: Finance and Management Extent:
Team/Program: School Financial Services
Primary Contact: Carey Bradley Phone: (608) 267-3752
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form HTML File           

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 Web App File     

Form Number: PI-1806 Due Date(s): Feb 7
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 MicroSoft Word File           

Form Number: PI-1813 Due Date(s): Apr 25
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: Brenda Jennings Phone: 608-266-7051
Secondary Contact: Elizabeth Pease Phone: 608-267-9290
Response Method:       Electronic Fillable Form MicroSoft Word File           

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: Gregg Curtis Phone: 608-266-2820
Secondary Contact: Phone:
Response Method: Print Only Form MicroSoft Word File                 

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: Randy Thiel Phone: 608-266-9677
Secondary Contact: Elizabeth Pease Phone: 608-267-9240
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1817 Due Date(s): Jun 30
Form Title: State AODA 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: Elizabeth Pease Phone: (608) 267-9240
Secondary Contact: Phone:
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1824 Due Date(s): No Due Date Assigned
Form Title: Budget Change Request for State AODA 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: Randy Thiel Phone: 608-266-9677
Secondary Contact: Elizabeth Pease Phone: 608-267-9240
Response Method:       Electronic Fillable Form MicroSoft Word File           

Form Number: PI-1833 Due Date(s): Jul 7
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 MicroSoft Word File           

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 MicroSoft Word File           

Form Number: PI-1841 Due Date(s): Feb 14
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 MicroSoft Word File           

Form Number: PI-1842 Due Date(s): Jun 30
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: Brenda Jennings Phone: (608) 266-7051