GEAR UP Claim Entry Form | Edstar Analytics

District

Select a school, District 1

Select a school, District 2

Select a school, District 3

Does this include an entire grade?*

Grades Served

Write the names of students who were absent.

District 1 School 1*

District 1 School 2*

District 1 School 3*

District 2 School 1*

District 2 School 2*

District 2 School 3*

District 3 School 1*

District 3 School 2*

District 3 School 3*

If you couldn't find the student, write: Last name, First name, Student ID

Select the Service*

Hidden

FA (Hidden)

Hidden

Mentoring (Hidden)

Hidden

Counseling Advising (Hidden)

Hidden

Post-Secondary (Hidden)

Hidden

Tutoring (Hidden)

Hidden

Supportive Services (Hidden)

Hidden

College Visit (Hidden)

Hours of service (whole number)*

Minutes of service (whole numer)*

Date the service took place*

Modality

How many family members were present?

What is the Cover Sheet ID number?*

Initials*

Notes