A-G Completion Improvement Grant Program
Learning Loss Mitigation Grant
July 1, 2021 to June 30, 2026

Thank you for completing the A-GCIGP Learning Loss Mitigation Final Expenditure Report. It is due Monday, August 31, 2026.

Question Title

School Name: (Required.)

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District Name: (Required.)

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County District School Code (Required.)

County Code (2 digits):

District Code (5 digits):

School Code (7 digits):

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Grant Contact Name: (Required.)

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Grant Contact Email: (Required.)

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Grant Award Amount for A-GCIGP Learning Loss Mitigation Funds:

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Remaining Balance of A-GCIGP Learning Loss Mitigation Funds:

2021 - 2022 Expenditure Narrative:
The A-GCIGP Final Expenditure Report must include a narrative of expenditures. Write a brief description for each of the line-item expenditures, describing specifically how A-GCIGP funds were spent for Year 1.

Example:
Budget Code 1000: Certificated Salaries
$3,748.25 - 25 hours of teacher release time at $149.93/hour. Provided teacher release time for pathway planning and A-G improvement rate professional development.

Question Title

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

Question Title

2021-2022 Object Code Total
Enter the dollar amount for each object code for Year 1
Example: Object Code 1000 Total $3,748.25

Object Code 1000 Total

Object Code 2000 Total

Object Code 3000 Total

Object Code 4000 Total

Object Code 5000 Total

Object Code 1000 - 5000 Subtotal

Object Code 6000 Total

Object Code 7000 Total

Total A-GCIGP Expenditures for Year 1

2022 - 2023 Expenditure Narrative:
The A-GCIGP Final Expenditure Report must include a narrative of expenditures. Write a brief description for each of the line-item expenditures, describing specifically how A-GCIGP funds were spent in Year 2.

Question Title

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

Question Title

2022-2023 Object Code Total
Enter the dollar amount for each object code for Year 2
Example: Object Code 1000 Total $3,748.25

Object Code 1000 Total

Object Code 2000 Total

Object Code 3000 Total

Object Code 4000 Total

Object Code 5000 Total

Object Code 1000 - 5000 Subtotal

Object Code 6000 Total

Object Code 7000 Total

Total A-GCIGP Expenditures for Year 2

2023 - 2024 Expenditure Narrative:
The A-GCIGP Final Expenditure Report must include a narrative of expenditures. Write a brief description for each of the line-item expenditures, describing specifically how A-GCIGP funds were spent for Year 3.

Question Title

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

Question Title

2023-2024 Object Code Total
Enter the dollar amount for each object code Year 3
Example: Object Code 1000 Total $3,748.25

Object Code 1000 Total

Object Code 2000 Total

Object Code 3000 Total

Object Code 4000 Total

Object Code 5000 Total

Object Code 1000 - 5000 Subtotal

Object Code 6000 Total

Object Code 7000 Total

Total A-GCIGP Expenditures for Year 3

2024 - 2025 Expenditure Narrative:
The A-GCIGP Final Expenditure Report must include a narrative of expenditures. Write a brief description for each of the line-item expenditures, describing specifically how A-GCIGP funds were spent in Year 4.

Question Title

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

Question Title

2024-2025 Object Code Total
Enter the dollar amount for each object code Year 4
Example: Object Code 1000 Total $3,748.25

Object Code 1000 Total

Object Code 2000 Total

Object Code 3000 Total

Object Code 4000 Total

Object Code 5000 Total

Object Code 1000 - 5000 Subtotal

Object Code 6000 Total

Object Code 7000 Total

Total A-GCIGP Expenditures for Year 4

2025 - 2026 Expenditure Narrative:
The A-GCIGP Final Expenditure Report must include a narrative of expenditures. Write a brief description for each of the line-item expenditures, describing specifically how A-GCIGP funds were spent in Year 5.

Example:
Budget Code 1000: Certificated Salaries
$3,748.25 - 25 hours of teacher release time at $149.93/hour. Provided teacher release time for pathway planning and A-G improvement rate professional development.

Question Title

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Question Title

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

Question Title

2025-2026 Object Code Total
Enter the dollar amount for each object code for Year 5
Example: Object Code 1000 Total $3,748.25

Object Code 1000 Total

Object Code 2000 Total

Object Code 3000 Total

Object Code 4000 Total

Object Code 5000 Total

Object Code 1000 - 5000 Subtotal

Object Code 6000 Total

Object Code 7000 Total

Total A-GCIGP Expenditures for Year 5

Question Title

Upload the Outcome Document (Required.)

Certification:
I certify that the expenditures reported above have been made, that all obligations have been liquidated, and that this project has been conducted in accordance with applicable laws and regulations. The approved application for this project plus any approved amendments, and full records of receipts and expenditures have been maintained and are available for audit.

A-G Completion Improvement Grant Program Learning Loss Mitigation Grant July 1, 2021 to June 30, 2026

Question Title

* School Name: (Required.)

Question Title

* District Name: (Required.)

Question Title

* County District School Code (Required.)

Question Title

* Grant Contact Name: (Required.)

Question Title

* Grant Contact Email: (Required.)

Question Title

* Grant Award Amount for A-GCIGP Learning Loss Mitigation Funds:

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* Remaining Balance of A-GCIGP Learning Loss Mitigation Funds:

Question Title

* Budget Code 1000: Certificated Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 2000: Classified Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 3000: Employee Benefits[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 4000: Books and Supplies[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 5000: Services and Other Operating Expenses [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 6000: Capital Outlay [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 7000: Indirect Costs[Enter Narrative Explanation below] (Required.)

Question Title

* 2021-2022 Object Code TotalEnter the dollar amount for each object code for Year 1Example: Object Code 1000 Total $3,748.25

Question Title

* Budget Code 1000: Certificated Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 2000: Classified Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 3000: Employee Benefits[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 4000: Books and Supplies[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 5000: Services and Other Operating Expenses [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 6000: Capital Outlay [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 7000: Indirect Costs[Enter Narrative Explanation below] (Required.)

Question Title

* 2022-2023 Object Code TotalEnter the dollar amount for each object code for Year 2Example: Object Code 1000 Total $3,748.25

Question Title

* Budget Code 1000: Certificated Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 2000: Classified Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 3000: Employee Benefits[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 4000: Books and Supplies[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 5000: Services and Other Operating Expenses [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 6000: Capital Outlay [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 7000: Indirect Costs[Enter Narrative Explanation below] (Required.)

Question Title

* 2023-2024 Object Code TotalEnter the dollar amount for each object code Year 3Example: Object Code 1000 Total $3,748.25

Question Title

* Budget Code 1000: Certificated Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 2000: Classified Salaries [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 3000: Employee Benefits[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 4000: Books and Supplies[Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 5000: Services and Other Operating Expenses [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 6000: Capital Outlay [Enter Narrative Explanation below] (Required.)

Question Title

* Budget Code 7000: Indirect Costs[Enter Narrative Explanation below] (Required.)

Question Title

* 2024-2025 Object Code TotalEnter the dollar amount for each object code Year 4Example: Object Code 1000 Total $3,748.25

Question Title

A-G Completion Improvement Grant Program
Learning Loss Mitigation Grant
July 1, 2021 to June 30, 2026

School Name: (Required.)

District Name: (Required.)

County District School Code (Required.)

Grant Contact Name: (Required.)

Grant Contact Email: (Required.)

Grant Award Amount for A-GCIGP Learning Loss Mitigation Funds:

Remaining Balance of A-GCIGP Learning Loss Mitigation Funds:

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

2021-2022 Object Code Total
Enter the dollar amount for each object code for Year 1
Example: Object Code 1000 Total $3,748.25

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

2022-2023 Object Code Total
Enter the dollar amount for each object code for Year 2
Example: Object Code 1000 Total $3,748.25

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

2023-2024 Object Code Total
Enter the dollar amount for each object code Year 3
Example: Object Code 1000 Total $3,748.25

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

2024-2025 Object Code Total
Enter the dollar amount for each object code Year 4
Example: Object Code 1000 Total $3,748.25

Budget Code 1000: Certificated Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 2000: Classified Salaries
[Enter Narrative Explanation below] (Required.)

Budget Code 3000: Employee Benefits
[Enter Narrative Explanation below] (Required.)

Budget Code 4000: Books and Supplies
[Enter Narrative Explanation below] (Required.)

Budget Code 5000: Services and Other Operating Expenses
[Enter Narrative Explanation below] (Required.)

Budget Code 6000: Capital Outlay
[Enter Narrative Explanation below] (Required.)

Budget Code 7000: Indirect Costs
[Enter Narrative Explanation below] (Required.)

2025-2026 Object Code Total
Enter the dollar amount for each object code for Year 5
Example: Object Code 1000 Total $3,748.25

Upload the Outcome Document (Required.)

Legal Name of Grantee (District receiving funds) (Required.)

Printed Name/Title of Authorized Official
(Superintendent/Designee) (Required.)

Signature of Superintendent/Designee
By typing your name below, you agree that this is your legal signature for this form. (Required.)