Number of Type of Activity Activity Major Activity Participants Contact Date(s)/Frequency Objective(s) (Identify Hours Participant Type) Core Activities Provided to Students. In the following table, place an in the first “X” column next to the types of services provided by your project with CPIP funding or matching funds. For each type of service provided, indicate the number of students who received the service during the reporting period and the average number of hours of service provided per student during the reporting period. Be careful to not duplicate the counting of students. For example, a student who participated in afterschool tutoring and went on a college tour should be counted only once not twice!! Place an in Type of Activity Sum Total “X” Number of of Hours that the column if GEAR UP GEAR UP your project Students Who Students provides this Participated in the Participated in type of service Activity the Activity Supportive Services Rigorous Academic Curricula Comprehensive Mentoring Financial aid counseling/advising Counseling/advising/academic planning/career counseling College student shadowing Tutoring/Homework Assistance Job site visit/job shadowing Summer programs Educational trips Workshops Other (please specify) Core Activities Provided to Parents, Guardians, and Family Members Place an Type of Service “X” (a) (b) Sum Total in the of Hours that GEAR column if Number of GEAR UP Parents, your project UP Parents, Guardians, or provides this Guardians, or Family Members type of Family Members service
Type of Activity Activity Date(s)/Frequency Major Activity Objective(s) Number of Participants (Identify Participant Type) Contact Hours Core Activities Provided to Students. In the following table, place an “X” in the first column next to the types of services provided by your project with CPIP funding or matching funds. For each type of service provided, indicate the number of students who received the service during the reporting period and the average number of hours of service provided per student during the reporting period. Be careful to not duplicate the counting of students. For example, a student who participated in afterschool tutoring and went on a college tour should be counted only once not twice!! Place an “X” in the column if your project provides this type of service Type of Activity Number of GEAR UP Students Who Participated in the Activity Sum Total of Hours that GEAR UP Students Participated in the Activity Supportive Services Rigorous Academic Curricula Comprehensive Mentoring Financial aid counseling/advising Counseling/advising/academic planning/career counseling College student shadowing Tutoring/Homework Assistance Job site visit/job shadowing Summer programs Educational trips Workshops Other (please specify) Core Activities Provided to Parents, Guardians, and Family Members Place an “X” in the column if your project provides this type of service Type of Service (a) Number of GEAR UP Parents, Guardians, or Family Members (b) Sum Total of Hours that GEAR UP Parents, Guardians, or Family Members