Office of Educational Research and Improvement

State: NO STATE SELECTED National Center for Education Statistics Form Approved
1995©96 OMB No. 1850-0067
Date Due: 03/15/96 Public Elementary/Secondary Expires 12/31/96
Education Agency Universe Shuttle

Item Item
Description Code Description Code
----------- ---- ----------- ----

NCES Education Agency ID: A01 _______ Instructional Staff:

State Education Agency ID: A02 ______________ Prekindergarten Teachers: E01 ________________

Kindergarten Teachers: E02 ________________

Name of Education Agency: A03 ______________________________ Elementary Teachers: E03 ________________

Mailing Address: A04 ______________________________ Secondary Teachers: E04 ________________

City: A05 __________________ Teachers of Ungraded Classes: E05 ________________

State (PO Abbreviation): A06 __ Total FTE Teachers: E06 ________________

ZIP Code + 4: A07 __________

Instructional Aides: E07 ________________

Area Code + Phone Number A08 _____________ Instructional Coordinators and Supervisors: E08 ________________

Education Agency Type Code: B01 _

Support Services Staff:
Supervisory Union ID Number: B02 ___
Elementary Guidance Counselors: F01 ________________
FIPS County Code B03 _____
Secondary Guidance Counselors: F02 ________________
CMSA/PMSA/MSA Code: B04 ______
Total Guidance: F03 ________________
Metropolitan Status Code: B05 _

Boundary Change Indicator: B06 _

Librarians/Media Specialists: F04 ________________

Library/Media Support Staff: F05 ________________

Student Counts:
LEA Administrators: F06 ________________
Ungraded: C01 ________________
LEA Administrator Support Staff: F07 ________________
PK-12: C02 ________________
_ _ _ _ _ _ _ _ _ _ _ School Administrators: F08 ________________

Special Education IEP: C03 ________________ School Administrator Support Staff: F09 ________________

Student Support Services Staff: F10 ________________

High School Graduates:
All Other Support Staff: F11 ________________
Regular Diploma Recipients: C04 ________________

Other Diploma Recipients: C05 ________________

Other High School Completers: C06 ________________

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ED(NCES) Form 2443 This report is authorized by law (20 U.S.C. 1221E-1). While you are not required to respond, your cooperation is needed
to make the results of this survey comprehensive, accurate, and timely.
 1995©96
Public Elementary/Secondary
Education Agency Universe Shuttle

Dropout Information

Item Item Item

Description Code Description Code Description Code
----------- ---- ----------- ---- ----------- ----

Seventh Grade Dropouts: Ninth Grade Dropouts: Eleventh Grade Dropouts:

Amer Indian / AK Native -- Male: D01 _______ Amer Indian / AK Native -- Male: D37 _______ Amer Indian / AK Native -- Male: D73 _______
Female: D02 _______ Female: D38 _______ Female: D74 _______
Unknown: D03 _______ Unknown: D39 _______ Unknown: D75 _______

Asian / Pacific Islander - Male: D04 _______ Asian / Pacific Islander - Male: D40 _______ Asian / Pacific Islander - Male: D76 _______
Female: D05 _______ Female: D41 _______ Female: D77 _______
Unknown: D06 _______ Unknown: D42 _______ Unknown: D78 _______

Hispanic ----------------- Male: D07 _______ Hispanic ----------------- Male: D43 _______ Hispanic ----------------- Male: D79 _______
Female: D08 _______ Female: D44 _______ Female: D80 _______
Unknown: D09 _______ Unknown: D45 _______ Unknown: D81 _______

Black, Not Hispanic ------ Male: D10 _______ Black, Not Hispanic ------ Male: D46 _______ Black, Not Hispanic ------ Male: D82 _______
Female: D11 _______ Female: D47 _______ Female: D83 _______
Unknown: D12 _______ Unknown: D48 _______ Unknown: D84 _______

White, Not Hispanic ------ Male: D13 _______ White, Not Hispanic ------ Male: D49 _______ White, Not Hispanic ------ Male: D85 _______
Female: D14 _______ Female: D50 _______ Female: D86 _______
Unknown: D15 _______ Unknown: D51 _______ Unknown: D87 _______

Ethnicity Unknown -------- Male: D16 _______ Ethnicity Unknown -------- Male: D52 _______ Ethnicity Unknown -------- Male: D88 _______
Female: D17 _______ Female: D53 _______ Female: D89 _______
Unknown: D18 _______ Unknown: D54 _______ Unknown: D90 _______

Eighth Grade Dropouts: Tenth Grade Dropouts: Twelfth Grade Dropouts:

Amer Indian / AK Native -- Male: D19 _______ Amer Indian / AK Native -- Male: D55 _______ Amer Indian / AK Native -- Male: D91 _______
Female: D20 _______ Female: D56 _______ Female: D92 _______
Unknown: D21 _______ Unknown: D57 _______ Unknown: D93 _______

Asian / Pacific Islander - Male: D22 _______ Asian / Pacific Islander - Male: D58 _______ Asian / Pacific Islander - Male: D94 _______
Female: D23 _______ Female: D59 _______ Female: D95 _______
Unknown: D24 _______ Unknown: D60 _______ Unknown: D96 _______

Hispanic ----------------- Male: D25 _______ Hispanic ----------------- Male: D61 _______ Hispanic ----------------- Male: D97 _______
Female: D26 _______ Female: D62 _______ Female: D98 _______
Unknown: D27 _______ Unknown: D63 _______ Unknown: D99 _______

Black, Not Hispanic ------ Male: D28 _______ Black, Not Hispanic ------ Male: D64 _______ Black, Not Hispanic ------ Male: D100 _______
Female: D29 _______ Female: D65 _______ Female: D101 _______
Unknown: D30 _______ Unknown: D66 _______ Unknown: D102 _______

White, Not Hispanic ------ Male: D31 _______ White, Not Hispanic ------ Male: D67 _______ White, Not Hispanic ------ Male: D103 _______
Female: D32 _______ Female: D68 _______ Female: D104 _______
Unknown: D33 _______ Unknown: D69 _______ Unknown: D105 _______

Ethnicity Unknown -------- Male: D34 _______ Ethnicity Unknown -------- Male: D70 _______ Ethnicity Unknown -------- Male: D106 _______
Female: D35 _______ Female: D71 _______ Female: D107 _______
Unknown: D36 _______ Unknown: D72 _______ Unknown: D108 _______

----------------------------------------------------------------------------------------------------------------------------------------------------------------

ED(NCES) Form 2443 This report is authorized by law (20 U.S.C. 1221E-1). While you are not required to respond, your cooperation is needed
to make the results of this survey comprehensive, accurate, and timely.