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BASIC EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA PERSON COMPLETING THIS FORM Name ____________________________________________________________ Title ____________________________________________________________ Phone ____________________________________________________________ Area Code Number E-Mail Address ____________________________________________________________ Signature ____________________________________________________________ School’s Web Address: _______________________________________________________ The University of the State of New York THE STATE EDUCATION DEPARTMENT Information and Reporting Services - Room 865 EBA [email protected] BEDS CODE: SCHOOL NAME: All nonpublic schools are encouraged to submit their BEDS Report of Nonpublic schools electronically by way of the On-line BEDS IMF application. If your school opts to report via the on-line application, then returning this paper document to SED is not necessary. Your principal or other chief school officer will have details concerning the On-line BEDS IMF application.

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Page 1: BASIC EDUCATIONAL DATA SYSTEM (BEDS) … EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA Sch PERSON COMPLETING

BASIC EDUCATIONAL DATA SYSTEM

(BEDS)

REPORT OF NONPUBLIC SCHOOLS

FALL 2017

ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA

Sch

PERSON COMPLETING THIS FORM

Name ____________________________________________________________

Title ____________________________________________________________

Phone ____________________________________________________________ Area Code Number

E-Mail Address ____________________________________________________________

Signature ____________________________________________________________

School’s Web Address: _______________________________________________________

The University of the State of New York

THE STATE EDUCATION DEPARTMENT

Information and Reporting Services - Room 865 EBA

[email protected]

BEDS CODE:

SCHOOL NAME:

All nonpublic schools are encouraged to submit their BEDS Report of Nonpublic schools electronically by way of

the On-line BEDS IMF application. If your school opts to report via the on-line application, then returning this

paper document to SED is not necessary. Your principal or other chief school officer will have details concerning

the On-line BEDS IMF application.

Page 2: BASIC EDUCATIONAL DATA SYSTEM (BEDS) … EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA Sch PERSON COMPLETING

1. ENROLLMENT IN THIS SCHOOL AS OF OCTOBER 4, 2017

1A. Pre-K Enrollment as of October 4, 2017

Ethnicity and Gender Pre-Kindergarten (not 3

year olds)

American Indian or Alaska

Native - Male

American Indian or Alaska

Native - Female

Black or African American

(not Hispanic origin) - Male

Black or African American

(not Hispanic origin) -

Female

Asian - Male

Asian - Female

Native Hawaiian or Pacific

Islander - Male

Native Hawaiian or Pacific

Islander - Female

Hispanic or Latino - Male

Hispanic or Latino - Female

White (not Hispanic origin)

- Male

White (not Hispanic origin)

- Female

Multi-Racial (not Hispanic

origin) - Male

Multi-Racial (not Hispanic

origin) - Female

Enter total number of PreK

students in this school

Page 3: BASIC EDUCATIONAL DATA SYSTEM (BEDS) … EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA Sch PERSON COMPLETING

1B. K-Ungraded Elementary Enrollment as of October 4, 2017

Ethnicity and Gender Half K Full K 1st 2nd 3rd 4th 5th 6th UGE

American Indian or Alaska

Native - Male

American Indian or Alaska

Native - Female

Black or African American

(not Hispanic origin) - Male

Black or African American

(not Hispanic origin) -

Female

Asian - Male

Asian - Female

Native Hawaiian or Pacific

Islander - Male

Native Hawaiian or Pacific

Islander - Female

Hispanic or Latino - Male

Hispanic or Latino - Female

White (not Hispanic origin)

- Male

White (not Hispanic origin)

- Female

Multi-Racial (not Hispanic

origin) - Male

Multi-Racial (not Hispanic

origin) - Female

Total K-Ungraded

Elementary Enrollment

Total K-UGE Enrollment

Enter the total number of Elementary students in this school based on the table above

Page 4: BASIC EDUCATIONAL DATA SYSTEM (BEDS) … EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA Sch PERSON COMPLETING

1C Grade 7 – Ungraded Secondary Enrollment as of October 4, 2017

Ethnicity and Gender 7th 8th 9th 10th 11th 12th UGS

American Indian or Alaska

Native - Male

American Indian or Alaska

Native - Female

Black or African American

(not Hispanic origin) - Male

Black or African American

(not Hispanic origin) -

Female

Asian - Male

Asian - Female

Native Hawaiian or Pacific

Islander - Male

Native Hawaiian or Pacific

Islander - Female

Hispanic or Latino - Male

Hispanic or Latino - Female

White (not Hispanic origin)

- Male

White (not Hispanic origin)

- Female

Multi-Racial (not Hispanic

origin) - Male

Multi-Racial (not Hispanic

origin) - Female

Total Grade 7-Ungraded

Secondary Enrollment

* Students with Disabilities who do not have a grade level assigned to them.

Total 7-UGS Enrollment

Enter the total number of Secondary students in this school based on the table above

TOTAL ENROLLMENT

Enter the total enrollment for this school based on 1A, 1B, and 1C

Page 5: BASIC EDUCATIONAL DATA SYSTEM (BEDS) … EDUCATIONAL DATA SYSTEM (BEDS) REPORT OF NONPUBLIC SCHOOLS FALL 2017 ENTER BEDS CODE NUMBER AND SCHOOL NAME IN THIS AREA Sch PERSON COMPLETING

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2. COUNT OF STUDENTS BY DISTRICT OF RESIDENCE

These data are being collected for textbook aid purposes.

A. New York State Residents Number of Pupils

District of Residence

District Code**

Pre-K K-6* 7-12*

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

B. Out-of-State and/or Out-of-Country Residents

C. Other Ineligibles

TOTAL COUNT OF STUDENTS ***

*K-6 includes ungraded elementary and 7-12 includes ungraded secondary students.

**An alphabetical listing of public school districts and their six-digit district codes is available at

http://www.p12.nysed.gov/irs/beds/IMF/documents/PublicSchoolCodes.pdf

Note: Please use the NYC District of Residence Search Guide located at

http://www.p12.nysed.gov/irs/beds/IMF/documents/NYCDistrictofResidenceSearchGuide.pdf if you need assistance in locating the

correct NYC Geo District for NYC residents.

The sum of PreK , K-6 and 7-12 students must match the Total Enrollment for all grades listed in Item #3.

NOTE: Please attach additional pages if needed.

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- 8 -

3A. FULL-TIME PROFESSIONAL STAFF IN THIS SCHOOL

TITLE ELEMENTARY (PK-6) SECONDARY (7-12) Principal or Chief Executive Officer Assistant Principals Supervisors and Department Heads Teachers Librarians Guidance Counselors Other Professional Staff TOTAL

3B. PART-TIME PROFESSIONAL STAFF IN THIS SCHOOL

TITLE ELEMENTARY (PK-6) SECONDARY (7-12) Principal or Chief Executive Officer Assistant Principals Supervisors and Department Heads Teachers Librarians Guidance Counselors Other Professional Staff TOTAL

4A. FOREIGN LANGUAGE INSTRUCTION IN THIS SCHOOL

Is this school offering foreign language instruction during the 2017-18 school year?

Yes No

4B. Indicate student enrollment and number of teachers by the grade level specified for each language offered.

LANGUAGE GRADES K-6 ENROLLMENT TEACHERS

French

Spanish

German

Italian

Russian

Hebrew

Latin

Other

TOTAL

4C. Indicate student enrollment and number of teachers by the grade level specified for each language offered.

LANGUAGE GRADES 7-12 ENROLLMENT TEACHERS

French

Spanish

German

Italian

Russian

Hebrew

Latin

Other

TOTAL

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4D. Languages Offered Total:

Enrollment Teachers

Enter Totals reported in Sections B and C

5A. ENGLISH LANGUAGE LEARNERS (Formerly LEP)

Does this school have students who are English Language Learners (ELL)?…………………………………………... Yes No

If Yes, enter the number of students by grade range:

K-6 7-12

5B. TRANSITIONAL BILINGUAL EDUCATION PROGRAM

Is a Transitional Bilingual Education Program offered at your school Yes No

Please indicate the languages and grade levels at which this program is offered:

(Check all that apply)

K 1 2 3 4 5 6 UE* 7 8 9 10 11 12 US*

Arabic

Bengali

Chinese

French

Haitian Creole

Hebrew

Italian

Japanese

Korean

Nepali

Polish

Punjabi

Russian

Somali

Spanish

Turkish

Urdu

Uzbek

Yiddish

Other

(Specify)

____________

*UE – Ungraded Elementary *US – Ungraded Secondary

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- 10 -

5C. DUAL LANGUAGE BILINGUAL EDUCATION PROGRAM

Is a One-Way Dual Language Bilingual Education Program offered at your school Yes No

Please indicate the languages and grade levels at which this program is offered:

(Check all that apply)

K 1 2 3 4 5 6 UE* 7 8 9 10 11 12 US*

Arabic

Bengali

Chinese

French

Haitian Creole

Hebrew

Italian

Japanese

Korean

Nepali

Polish

Punjabi

Russian

Somali

Spanish

Turkish

Urdu

Uzbek

Yiddish

Other

(Specify)

____________

*UE – Ungraded Elementary *US – Ungraded Secondary

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5D. DUAL LANGUAGE BILINGUAL EDUCATION PROGRAM

Is a Two-Way Dual Language Bilingual Education Program offered at your school Yes No

Please indicate the languages and grade levels at which this program is offered:

(Check all that apply)

K 1 2 3 4 5 6 UE* 7 8 9 10 11 12 US*

Arabic

Bengali

Chinese

French

Haitian Creole

Hebrew

Italian

Japanese

Korean

Nepali

Polish

Punjabi

Russian

Somali

Spanish

Turkish

Urdu

Uzbek

Yiddish

Other

(Specify)

____________

*UE – Ungraded Elementary *US – Ungraded Secondary

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6. LUNCH, BREAKFAST AND MILK PROGRAMS

6A.1. Do students in this school qualify for the federal free and reduced-price lunch program (NSLP)?..... Yes No

6A.2 Do students in this school participate in the federal free and reduced-price-lunch program (NSLP)?...

2A. What type of NSLP has this school implemented: (indicate only 1)

1. Provision 2

2. Community Eligibility Provision (CEP)

3. Participate Without Using any Provision or CEP

Yes No

Grades K-6 Number of approved applicants for Free and Reduced-Price Lunches.

6B. For students enrolled in this school, enter by grade level the number of approved applicants for free and reduced-price

lunches. Enter zeroes where appropriate. (CEP and Provision 2 schools should refer to instructions.)

1. Number of students enrolled in free lunch for K-6

(include ungraded elementary)

2. Number of students enrolled in reduced price lunch for K-6

(include ungraded elementary)

3. K-6 TOTAL APPLICANTS

Grades 7-12 Number of approved applicants for Free and Reduced-Price Lunches.

6C. For students enrolled in this school, enter by grade level the number of approved applicants for free and reduced-price

lunches. Enter zeroes where appropriate. (CEP and Provision 2 schools should refer to instructions.)

1. Number of students enrolled in free lunch for 7-12

(include ungraded elementary)

2. Number of students enrolled in reduced price lunch for 7-12

(include ungraded elementary)

3. 7-12 TOTAL APPLICANTS

Total number of approved applicants for free and reduced –price lunches.

6D.

TOTAL APPLICANTS

FRPL Half-Day Kindergarten Students

6E.

Is this program available to half-day kindergarten students?

Yes No No half-day program

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7. STUDENTS SUPPORTED BY PUBLIC FUNDS UNDER CONTRACT WITH A PUBLIC SCHOOL DISTRICT

7A. This item applies only to private schools approved for reimbursement with public funds for educating children with

disabilities.

Enter the number of students, by grade, who are attending this school as of October 4, 2017 and whose tuition is

supported by public funds under contract with a public school district.

*Students with Disabilities not assigned to a grade

Number of Students

Pre-K

K (1/2 day)

K (Full-day)

1

2

3

4

5

6

Ungraded Elementary

7

8

9

10

11

12

Ungraded Secondary

TOTAL

8. COMPUTER RESOURCES

8A. 1. How many instructional computing devices, less than five years old, are in use in your school? For this

purpose, computing devices refer to desktop computers, laptops, tablets nine (9) inches or greater (i.e. iPads) and/or

Chromebooks. Note: Only include devices used for instructional purposes that are less than five years old. Do

not include computers or other devices that are for administrators only.

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1a. Approximately what percentage of teachers have a computer(s) in their classroom? (Select one.)

1. 0 to 20% 2. 21 to 40% 3. 41 to 60% 4. 61 to 80% 5. 81 to 100%

1b. Are the computer(s) in the classroom for: (choose one)

1. Teachers only 2. Students only 3. Teachers and students

2. Does the school allow students to use their own devices during school hours for instructional purposes?

1. Yes 2. No

8B. INTERNET CONNECTIVITY

1. Please describe your internet access (Check one)

Great coverage; very fast. We have no problem connecting all of our devices (computers and/or tablets). When

users stream videos (like from You Tube), there is no pausing or any glitches. Multiple people can stream video at the same time.

Good coverage; fast. Most or all devices are connected. We sometimes have an issue with the internet (i.e. pages don't load as fast or videos pause), but that is rare and/or only when a lot of people are using the internet at the same time.

Low coverage; doesn't meet our needs. The internet is very slow, and sometimes teachers or students cannot connect at all. The internet may not be reliable. Pages load very slowly and it is difficult to stream videos.

No internet available for use with students.

9. DISTANCE LEARNING/ONLINE LEARNING

A. Does this school use distance learning/online learning?………………………………………………... Yes No

If you have answered YES to Part “A” above:

B. Which of the following does this school use for distance learning/online learning:

1. E-mail correspondence? ……………………………………………………………………………. Yes No

2. Internet content (e.g., connected University)? ……………………………………………………. Yes No

3. One-to-one, real-time video conferencing (e.g., CUSeeMe, I-chat)?……………………………… Yes No

4. Synchronous, multi-point (one to many or many to many) real-time video conferencing? ……….. Yes No

5. Online instruction?.............................................................................................................………….. Yes No

6. Other: (please specify) __________________________________________________________________________________

10. LIBRARY/LIBRARY MEDIA CENTER (LMC)

A. Facility

1. Does this school have a school library/LMC or access to a shared school library/LMC in this

building? ................................................................................................................... ....................... Yes No

If NO, skip to Item 14 on the next page.

2. Does another school in this building share this school library? ………………………………….. Yes No

B. Resources as of October 4, 2017

1. Total number of books in this school library/LMC (traditional paper copy)…………….…………………….

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2. Total number of electronic books that are cataloged and available through this school library/LMC …….

3. Total number of non-book materials that are cataloged and processed in this school library/LMC…….......

4. Total number of database subscriptions, including those provided by NOVEL (statewide) regional library

council, School Library System, or other library consortia …………………………………….…………….

5. Does the Library have access to a chrome cart/laptop cart either dedicated to the library only or

available to sign out for use?............................................................................................... .... Yes No

6. Does the library have an automated system to access library resources? ……………..……. Yes No

a. Is this school’s library catalog available on the Internet? …………….………………. Yes No

7. Is this school a participant in a School Library System (SLS)? …………..……………..……… Yes No

8. Does the library have a Web presence in the form of a Web page or Web Portal?....................... Yes No

9. Does this library have the equipment needed to share multimedia presentations? ……………. Yes No

10. a. Does the library currently have space dedicated as “Makerspace” Yes No

b. If No, are there plans to create a dedicated “Makerspace” in the library during the 2017-18

school year?

Yes No

11. a. Did the library program include “Maker” activities during the 2016-17 school year? Yes No

b. If No, are there plans to incorporate “Maker” activities and events in the library program for

the 2017-18 school year?

Yes No

C. Program

1. How many hours is the library media center staffed and open for student use? (Check one.)

a. fewer than 10 hours a week

b. 10-20 hours a week c. open during all

school hours d. open during all school hours and before

and/or after school

2. Which of the following terms BEST describes the method used to schedule school library classes? (Select one)

a. Fixed/Block: classes scheduled at regularly specified times

b. Flexible: open schedule, i.e., scheduled at varying times according to need

c. Mixed: some classes block scheduled; some classes flexibly scheduled

d. No classes are scheduled

3. Collaboration and integration

Does the LMS collaborate and plan with classroom teachers for instruction? Yes No

a. Do classroom teachers accompany students to the library for whole-class instruction? Yes No

b. Are library and information literacy skills taught and integrated into core academic areas to meet the NYS Learning

Standards? (Check all that apply)

English Language Arts Career Dev & Occupational Studies (CDOS)

Math, Science & Technology (MST) The Arts (Dance, Music, Theatre, Visual Arts)

Social Studies Health, Phys Ed, Family & Consumer Science

Languages Other than English (LOTE) Other

4. Does the library promote Inquiry- or Problem-based learning activities?............................Yes No

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- 16 -

11. OPERATIONAL STATUS

12. FIRE INSPECTION CERTIFICATION

(Please Note: Only Schools Outside of New York City, Buffalo, Syracuse, Yonkers or Rochester MUST

Complete)

13. Person Completing Form

Name: ______________________________________________________________________________________________

Title: ____________________________________________________ Date: __________________________________

E-Mail Address: ______________________________________________________________________________________

Telephone: ________________________________________ Fax: ________________________________________

Schools Web Address (if applicable) ___http://___________________________________________________________________

A. Indicate with a checkmark whether this school is for profit or is nonprofit:

For Profit Nonprofit

B. Please specify, if Nonprofit, whether the school is operated by:

1. Education Corporation (with Regents Charter) 2. Religious Corporation 3. Unincorporated Religious Organization 4. Not-For-Profit Corporation (NFP)

*Name on incorporation papers must match name on BEDS application (front page). Stated corporate purpose must specify

authority to operate the grades cited on page 3 of the application.

Our School has completed and submitted the required Annual Fire Inspection Report to the Office of Facilities

and Planning.

Our School has contacted the fire inspector. An inspection is scheduled and the report will be submitted to the

Office of Facilities and Planning prior to December 16, 2017.

Our School has not yet contacted the fire inspector. The school will schedule and submit the report to the

Office of Facilities and Planning prior to December 16, 2017.

Our school is located within New York City, Buffalo, Syracuse, Rochester or Yonkers City School District.

For more information concerning the annual fire inspection report, please go to:

http://www.p12.nysed.gov/nonpub/fire_safety_report.html