Northeast: New England Middle Atlantic Midwest: East North Central West North Central South: South Atlantic East South Central West South Central West: Mountain Pacific Local representation (please describe, including number of states): Date: Size: Gender (Percent): Male: _____ Female: _____ Unknown: _____ Eligible for free or reduced-price lunch: _____ Other SES Indicators: _____ Race/Ethnicity (Percent): White, Non-Hispanic: _____ Black, Non-Hispanic: _____ Hispanic: _____ American Indian/Alaska Native: _____ Asian/Pacific Islander: _____ _____ Unknown: _____ Disability classification (Please describe): First language (Please describe): Language proficiency status (Please describe): If criterion-referenced, describe procedures for specifying levels of performance (attach documentation). Describe any other procedures for specifying levels of performance.
Northeast: New England Middle Atlantic Midwest: East North Central West North Central South: South Atlantic East South Central West South Central West: Mountain Pacific Local representation (please describe, including number of states): Date: Size: Gender (Percent): Male: _____ Female: _____ Unknown: _____ Eligible for free or reduced-price lunch: _____ Other SES Indicators: _____ Race/Ethnicity (Percent): White, Non-Hispanic: _____ Black, Non-Hispanic: _____ Hispanic: _____ American Indian/Alaska Native: _____ Asian/Pacific Islander: _____ _____ Unknown: _____ Disability classification (Please describe): First language (Please describe): Language proficiency status (Please describe): If criterion-referenced, describe procedures for specifying levels of performance (attach documentation). Describe any other procedures for specifying levels of performance.
NCII_BPM_SubmissionProtocol_Oct2017.docx