CTEI and Perkins Grant Purchasing Reporting Form

Important Please Read Before Completing form

This form is not the order/purchasing form. That form will be emailed to you AFTER this form is submitted. You must use that form (received via email) for all of your ordering. Additionally, in the email will be a PDF attachment that will have a reference number on it. That number will need to be included on your order form.

When making a grant request the SRAVTE office will need this report filled out before the purchase can be approved. The need for this form is based upon grant accountability requirements and is a responsibility that the SRAVTE office is mandated to do for all funds that are expended.

School Requesting Purchase: *

Grant used for Purchase *

CTEI (State)

Perkins (Federal)

Name: (Approved person making purchase request) *

Email address *

Re-enter email *

If Required by your district, enter your supervisors email address, so a copy will be forwarded to him/her? (If not required it is not necessary to fill this out).

For which CTE Area is this purchase being applied?: *

For which specific program is the funding being used (e.g.- Fashion, Culinary, Welding, etc.) *

Please select the outcome that best describes what the expected expenditure will produce: *

Assistance to Special Populations

Certification Attainment (Industry Recognized)

Counseling (CTE Related)

Improved Employability

Improved Student Academic Performance

Student Skill Mastery

Other (Briefly Describe) Other (Briefly Describe)

Please describe how you will measure the outcome selected in the box above. Be specific (e.g.--number of certifications attained, increased CTE enrollment numbers [pre vs post], assessment to measure skill attainment, etc.). What data will be submitted to the SRAVTE office to support the measurement? *

If the purchase is to assist Special Populations, please check the box(s) of the special populations that will be served.

What activities will the purchased items be used for? To enter multiple activities, simply click the GREEN + symbol and an additional text box will open for a new activity. You may enter up to 10 activities.

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