ATTACHMENT V
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The waiver process includes a provision for an Annual Evaluation Report. Each program must submit an annual report within two months of the end of each school year to the State Education Department. The report may be submitted through the program director, the Superintendent of Schools or the Chancellor of the New York City Department of Education or his designee.

1. Program Description Summary – Provide a brief summary which describes the program that was implemented and identifies the Regulation(s) waived along with the number of students impacted by the waiver. The intended objectives (i.e., expected improvements or results) of this program are to be concisely and specifically stated. Any changes from the original application will be noted.
    

2. Evaluation Design – Describe the method and provide copies of assessment tools that were used to evaluate, monitor and document the progress of the program. Indicates the criteria used to measure success.
    

3. Evaluation Results – Document the specific results achieved and the overall effectiveness of the waiver. Also, identify related or expected outcomes, such as new methods of operation, uses of new technology, cost savings, or linkages with higher education, community institutions and business. Where data on student performance is collected, summary tables of results are to be provided.
    

4. Report Summary – Indicate any request for modification or extension that may be necessary to improve or to continue the program. Provide a clear rationale for any requested changes.