TPSID Evaluation

Transition and Postsecondary Programs for Students with Intellectual Disabilities (TPSID) Evaluation Protocol

DataFull_Eval_Tool_for_2025_2026 4.1.25 FINAL (1)

Transition and Postsecondary Programs for Students with Intellectual Disabilities (TPSID) Evaluation Protocol

OMB: 1840-0825

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THINK COLLEGE EVALUATION TOOL

OMB CONTROL NUMBER: 1840-0825 EXPIRATION DATE: XX/XX/XXXX

PROGRAM LEVEL DATA

Note: Program data should be entered in full in your first year as a TPSID program. In subsequent years, program level data will be copied over from the prior year’s record. You must review, make updates, and then confirm the accuracy of program data every year in the Confirm Data section of the program form.

PROGRAM ATTRIBUTES

PD11. Please provide the number of applicants, as well as the number accepted to your program for the 2025-2026 academic year:

PD11a1. Number of in-state applicants (accepted or rejected): PD11a2. Number of in-state applicants who were accepted: PD11b1. Number of out-of-state applicants (accepted or rejected): PD11b2. Number of out-of-state applicants who were accepted:

PD3. Is your TPSID program affiliated with, or housed within, a particular school, college, academic department, or administrative office within your college/university?

If yes, what is the name of the school, college, academic department, or administrative office?

PD7. Does your regular program operate during the summer months? (By operate, we mean do students attend your program during the Summer to enroll in classes or receive other services or supports. If your program does not support students during the Summer, you should answer "No.")

PD7a. Do you offer a summer transition program for incoming students?

PD9. Did your college/university serve and/or support students with intellectual disability prior to receiving the current TPSID grant?

(If yes to PD9) PD9a. What year did your program first enroll/support students?

In the next question, we ask about your program’s credential or credentials. The program credential is a culminating credential awarded upon the successful completion of the program of study for your whole program.

PD13. Please select the response that best describes your program’s credential offerings:

We are developing a program credential
We don’t have a program credential but students earn other credentials at the college/university
We have a single program credential
We have multiple options for program credentials
None of the above (please explain)

Continue to the next section to report each credential in which you have students enrolled.

CREDENTIALS OFFERED

In this section, you will report EACH credential in which you have students enrolled. If you do not offer a credential or do not have any students enrolled in a credential program, please complete the two questions below. Otherwise, skip to the credential table.

If students in your program did not enroll in a credential this year, check this box.

Please explain why students in your program did not enroll in any credential programs this year:

Enter the credential programs in which you have students enrolled. Descriptions for the types of credentials appear below. Please enter a record for each program students are enrolled in.

Certificates are credentials awarded by an education institution based on completion of all requirements for a program of study, including coursework and tests.
Apprenticeship certificates are credentials earned through work-based learning and postsecondary earn-and-learn models. They are applicable to industry trades and professions. Registered apprenticeship certificates meet national standards.
Industry certifications are credentials awarded by a certification body (not a school or government agency) based on an individual demonstrating, through an examination process, that they have acquired the designated knowledge, skills, and abilities to perform a specific occupation or skill. It is time-limited and may be renewed through a re-certification process.
Licenses are credentials that permit the holder to practice in a specified field. An occupational license is awarded by a government licensing agency based on pre- determined criteria. The criteria may include some combination of degree attainment,

certifications, certificates, assessment, apprenticeship programs, or work experience. Licenses are time-limited and must be renewed periodically.

Associate degrees are undergraduate degrees awarded to a student by a college or university usually after completion of a two- or three-year program of study. This is a level of qualification between a high school diploma or GED and a bachelor's degree.
Bachelor's degrees are degrees awarded to a student by a college or university usually after completion of a four-year program of study.
Microcredentials are certificates or badges documenting that a student gained knowledge or skills in a short learning experience

Credential 1_2. Is this credential your program’s credential (or one of your program’s credentials, if you have more than one)? The program credential is a culminating credential awarded upon the successful completion of the program of study for your whole program.

If yes to Credential 1_2, proceed to answer the following questions:

Credential 2. What is the name of this credential?

Credential 1. Which type of credential are you reporting?

Certificate
Apprenticeship certificate
Industry certification
License
Associate degree
Bachelor’s Degree
Microcredential
Other. Please specify:

Credential 4. Is it approved through college/university governance structure?

Credential 11. Was the credential created specifically for students in the TPSID program?

Credential 7. Who awards the credential upon completion?

College/university
College/university continuing education department/school
TPSID program
Local education agency

An external entity (e.g., a certification body or government agency)

For Credential 5: The term ‘‘industry-recognized’’ credential, means a credential that:

is sought or accepted by employers within the industry or sector involved as a recognized, preferred, or required credential for recruitment, screening, hiring, retention, or advancement purposes; and,
where appropriate, is endorsed by a nationally recognized trade association or organization representing a significant part of the industry or sector.

Credential 5. Is it aligned with an industry-recognized credential?

Yes, please specify:
No

Credential 8. What is the typical (or expected) amount of time it will take for a student to earn this credential? Please answer both A and B.

A	B
Less than 1	Academic year(s)
1	Semester(s)
2	Trimester(s)
3	Quarter(s)
4 5	Other unit of time, specify:
6
7
8
9
10
More than 10

Credential 9. Please provide a link to your course or program of study here: (if you don’t have a link, you can upload a file).

Credential 10atxt. Please upload or provide a link to the satisfactory academic progress policy for this credential.

If no to Credential 1_2, proceed to answer the following questions:

Credential 2. What is the name of this credential? Credential 1. Which type of credential are you reporting?

Certificate
Apprenticeship certificate
Industry certification
License
Associate degree
Bachelor’s Degree

Microcredential
Other. Please specify:

Credential 11. Was the credential created specifically for students in the TPSID program?

For Credential 5: The term ‘‘industry-recognized’’ credential, means a credential that:

is sought or accepted by employers within the industry or sector involved as a recognized, preferred, or required credential for recruitment, screening, hiring, retention, or advancement purposes; and,
where appropriate, is endorsed by a nationally recognized trade association or organization representing a significant part of the industry or sector.

Credential 5. Is it aligned with an industry-recognized credential?

Yes, please specify:
No

Credential 8. What is the typical (or expected) amount of time it will take for a student to earn this credential? Please answer both A and B.

A	B
Less than 1	Academic year(s)
1	Semester(s)
2	Trimester(s)
3	Quarter(s)
4 5	Other unit of time, specify:
6
7
8
9
10
More than 10

EMPLOYMENT AND CAREER DEVELOPMENT

EC1. Who provides the employment services or work-related direct supports for the students in your program? Check all that apply.

We do not provide employment services or direct supports for the students in our program
Our program’s staff
Career Services staff available to all students attending the college/university
Peer mentors or supports
LEA transition staff for students receiving special education services
State Vocational Rehabilitation Staff

State Intellectual and Developmental Disability agency staff
External/Contracted employment service provider
Supervisors at the worksite
Coworkers at the worksite
Other (please specify: )

CP_VR1. Does your TPSID program collaborate with your state Vocational Rehabilitation services to provide pre-employment transition services under WIOA?

If yes, which pre-employment transition services do you provide in collaboration with state VR services to TPSID program students?

CP_VR1a. Self-advocacy instruction
CP_VR1b. Work-based learning experiences
CP_VR1c. Workplace readiness training to develop social skills and independent living
CP_VR1d. Job exploration counseling
CP_VR1e. Counseling on opportunities for enrollment in comprehensive transition or postsecondary educational programs

PLANNING AND ADVISING

PA1. Does the program use Person Centered Planning with participating students?

If yes, proceed to PA5 If not, proceed to PA4

PA5. When does person-centered planning (PCP) begin for each student?

Prior to enrollment
At enrollment
Other, please specify:

PA6. How often are person-centered planning meetings held for each student?

Once
Annually
Each academic term
Other, please specify:

PA7. How is the information gathered through person-centered planning used?

For career planning
For developing program of study
In advising/course selection
For planning individual skill development

For planning engagement in social activities
For determining level of support
For determining accommodations/modifications
Other, please specify:

PA4. Describe the advising services used by students attending your program. Select one.

Regular advising used by all students
Separate advising system specially designed only for our programs students and administered by program staff
Both

PA8. Does your program use any type of individual written learning plan or contract for inclusive courses taken by students? (Note: these plans could include accommodations, modifications, assessments, student work to be completed, or individualized learning objectives).

Yes for audited courses only
Yes for both audited courses and courses taken for credit
No

SOCIAL OPPORTUNITIES

SO1. Are TPSID program students allowed to join registered student organizations at the college/university?

SO2. Have any of your TPSID program students joined a registered student organization?

SO3. Are TPSID program students allowed to attend social events on campus only available to students at the college/university?

SO4. Have any of your TPSID program students attended social events on campus that are only available to students at the college/university?

RESIDENTIAL ACCESS

RA1. Does this college/university provide institutionally owned/affiliated/operated housing for students? (Note: This information is pulled in from publicly available data on your college/university.)

RA2. Do students in this TPSID program have the opportunity to access this housing?

(If RA2 = No) RA2_2. Why are students unable to access this housing? Check all that apply

Concerns from the college/university
Students are not regularly matriculated students and cannot access housing
Insufficient student housing availability
We are planning for housing – it will be available in the future
Other. Please explain why students are unable to access this housing:

(If RA2 = No) RA2_3. Are you in the process of seeking access to college/university housing for your TPSID program students?

(If RA2_3 = Yes). When do you expect college/university housing to be available for your TPSID program students?

RA2_4. Do students in your program have the opportunity to access some other type of housing away from family while attending your program (not owned/affiliated/operated by but connected with your program)?

RA3. If your program offers students access to housing, which of the following residential supports do TPSID program students who live in college/university housing receive? Check all that apply.

None
Roommate/suitemate who receives compensation
Uncompensated roommate/suitemate who provides supports
Residential Assistant or Advisor who provides supports
Continuous staff support
Intermittent or on-call staff support
Other support. Please specify:

RA4. What is the move-in process for your TPSID program students? Check all that apply

Students move in during traditional move-in days/times
Students move in on an early move-in day already available for other student groups (e.g., athletes)
We have a move-in day only for students in our TPSID program
Other, please specify:

RA5. What supports/programming does your program and/or college/university offer for the transition to living on campus for TPSID program students? Check all that apply

Summer experience unique to the program
Summer experience for all incoming students
Orientation to campus housing provided by the college/university
Orientation to campus housing provided by the program
Program-specific meet and greet for all new and/or returning students and their families
Other, please specify:

PEER SUPPORTS

A peer mentor is a college/university student who supports students attending a TPSID program fostering inclusion and promoting development through peer-to-peer collaboration and relationship building. Peer mentors may support development of academic, social, independent living, or other skills needed to succeed in postsecondary education. Peer mentors may be paid or unpaid and may or may not receive academic credit.

PS1. Does your program use peer mentors?

Yes, Answer question PS2
No There are no additional questions to answer in this section

PS2. In which areas do peer mentors support this program’s students? Check all that apply.

Social
Academic
Independent living
College/university housing
Employment
Transportation
Other. Please specify:

PS3. What training and supervision is provided to peer mentors? Check all that apply

Formal training protocol at onboarding
Refresher training periodically
Regular group meetings with peer mentors for supervision
Regular 1:1 meeting with peer mentors for supervision
Other. Please specify:

PS4. (optional) Use this notes section to document your program’s peer mentor training and supervision process:

PS5. How many total peer mentors does your TPSID program have this year?

PS6. What is the approximate total number of hours peer mentors provided support to students in your TPSID program this year? (Note: sum all support hours provided by peer mentors to your students across the academic year).

PS7. Are peer mentors paid for the supports they provide to students enrolled in your TPSID program?

Yes, all peer mentors are paid
Some peer mentors are paid
No, our peer mentors are not paid

PS8. Do peer mentors receive academic credit for the support they provide to students enrolled in your TPSID program?

Yes, all peer mentors receive academic credit
Some peer mentors receive academic credit
No, our peer mentors do not receive academic credit

PS9. Do any of your peer mentors have intellectual disability?

INTEGRATION WITH INSTITUTION OF HIGHER EDUCATION

IIHE7. Do students enrolled in this TPSID program follow the academic calendar used by the college/university?

IIHE8. Are students enrolled in this TPSID program held to the college/university’s code of conduct?

Yes, Answer question IIHE9
No Skip to question IIHE10

(if IIHE8 = Yes) IIHE9. How is the college/university code of conduct shared with students enrolled in this TPSID program? Check all that apply.

College/university code of conduct is reviewed with students
Students receive a copy of the college/university code of conduct
Students receive a plain language version of the college/university code of conduct
The college/university code of conduct is available but is not provided to or reviewed with students
Other. Please specify:

IIHE11. Do students enrolled in this TPSID program receive a transcript? Select one.

Yes, student receive a regular transcript like other non-program students
Yes, students receive a transcript specifically for TPSID program students
Yes, students receive a regular transcript and a transcript specifically for TPSID program students
No, students do not receive a transcript

IIHE12_New. Are TPSID program students issued an official student ID from the college/university?

IIHE15_1. Do TPSID program students attend the regular orientation for new students at the college/university?

IIHE15_2. Do family members of TPSID program students attend the regular orientation for new students at the college/university?

IIHE15_3. Do you provide a special orientation for TPSID program students?

IIHE15_4. Do you provide a special orientation for family members of TPSID program students?

IIHE16. To the best of your knowledge, have students enrolled in this TPSID program used any of the following college/university resources in the past year? Check all that apply.

Health center/counseling services
Career services
Registrar, Bursar, or financial aid office
Tutoring services
Library
Bookstores
Computer lab/Student IT services
Sports and recreational facilities or Arts/cultural center
Student center or Dining hall
Disability services office
Residential life
Off-campus housing services
Students did not use any of these resources this year

IIHE17. Collaboration with internal partners. For each of the college/university departments/offices/entities listed below, do TPSID program staff interact with this department/office/entity?

	Do TPSID program staff interact with this department/office/entity?
President/chancellor or provost/vice-president for academic affairs	Yes No
Faculty senate
Staff senate/council
Student government
Student groups and organizations
Admissions/Enrollment office
Residential Life office
Disability support services
Financial aid
Student affairs
Title IX office
Dean or Chair of the College/School/department in which your program is housed
Registrar
Campus police/security office
University Foundation/Endowment Office
Human Resources
Continuing Education
Specific academic departments or schools at the college/university
TRIO program or center
Academic advising
Career services
Faculty professional development center
Other. Please specify

FUNDING SOURCES

FS1. Which of the following sources of funds are you using to support the development, implementation, and operation of this program (e.g., to pay program staff & other expenses)? Check all that apply.

College/university resources
Medicaid
Local Education Agency (LEA)
Other government-funded grants
Private foundation grants
Funding from state budget
State intellectual/developmental disability (IDD) services agency funds
State Vocational Rehabilitation agency funds
Student tuition and fees
Individual and/or corporate donors
Other funding sources. Please specify:

We do not get funding other than TPSID grant funding

FS2. How is your program meeting the match requirements for this the grant? Check all that apply.

Notes on matching funds requirement: In the FY 2025 competition, applicants were told they are required to get a matching contribution equal to at least 25 percent of cost of the project, from non-Federal funds. Although matching funds can come from a variety of sources, including consortia members, the college/university to whom these funds are obligated, will remain the fiscal agent during the project performance period and therefore, will be responsible for the managing, documenting, and reporting activities associated with these matching funds. The fiscal agent is responsible for maintaining records on the documented match for three years beyond the life of the grant.

In-kind contributions
Other monetary contributions

(If you checked in-kind contributions) FS2_1. Which types of in-kind contributions, did you receive? Check all that apply.

Faculty/staff time
Rent
Physical space
Materials
Waiving overhead
Rent for space
VR drawdown
Other. Please specify:

(If you checked other monetary contributions) FS2_2. What types of other monetary contributions?

FS3. What is this program's Comprehensive Transition Program (CTP) status?

We are an approved CTP
We have applied to become a CTP and are awaiting a response
We are considering becoming a CTP
We are not a CTP and have no plans to apply to become one

(If FS3 = We are an approved CTP or We have applied to become a CTP and are awaiting a response) FS3_2_2. Did your program experience challenges during the approval process, e.g., communication, applications components, etc.?

FS3_2_3. If yes, please describe these challenges:

(If FS3 = We are not a CTP and have no plans to become one) FS3_2_4. Why are you not considering becoming a CTP?

FS4. Is your program in a position to continue day to day program operations beyond TPSID grant funding (after 9/30/2030)?

(If FS4 = No) FS5. What steps are you taking to work towards program sustainability?

COLLABORATION WITH PARTNERS - Report this information for each external

partner

Important Note: When reporting partnerships, please create a partnership for each you work with. For instance, if you work with multiple local school systems, please create a partner record and select "Education Agencies (K-12 or higher education, local and/or regional)" for item CP1 for each local school system you work with. Other partners you may need to create multiple records for include CRPs and advocacy groups. You can enter specific information about these partners in the notes field below CP1.

Check this box if your TPSID program did not partner with any external organizations this year

(If checked) Please explain why your program did not have any partners this year:

CP1_New. Select the organization the TPSID program has an active partnership with:

Education agencies (K-12 or higher education, local and/or regional)
Community rehabilitation provider(s)
Advocacy groups
Employers
Vocational Rehabilitation
State intellectual/Developmental Disability (IDD) services agency
University Centers for Excellence in Developmental Disabilities (UCEDDs)
Developmental disability councils (DD Councils)
Statewide alliance of postsecondary education programs
Regional alliance of postsecondary education programs
Other, please specify:

CP3: What functions does this partner serve? Check all that apply.

Advisory board/consultant
Provides training to TPSID program staff
Provides direct service to TPSID program students
Provides career development opportunities for students
Provides paid jobs for students
Enable collaboration across postsecondary education programs
Other. Please specify:

CP4. Does this partner provide any of the following? Check all that apply?

Funds for student tuition
Funds for other student expenses (e.g., fees, room, board etc.)
Funds for other program expenses (e.g., operating expenses)

CP_Note. Add any additional notes on this partner (optional):

STAFF – This information is reported for each person who is considered a staff member for your program

Check this box if your TPSID program did not have any staff this year

(if checked) Please explain why your program did not have any staff this year:

Answer these questions for each staff member for the program. Include any paid employee. Do not report on peer mentors here. However, if your program employs paid educational coaches, include them in your reporting here.

Staff 3. Does this staff person have a designated role/job title for your TPSID program? Check all that apply

Principal investigator
Program director
Program coordinator
Faculty mentor
Employment specialist/coordinator
Academic specialist/coordinator
Residential specialist/coordinator
Other, please specify:

Staff4. Is this person paid using funds from your TPSID Grant?

Yes, in full
Yes, in part
No

STUDENT CHARGES - Please provide a response for each charge type used by your program

In this section we collect information on charges to students who attend your program, including tuition, fees, and room and board. For the purpose of this collection:

Tuition refers to the amount of money charged to students for instructional services.
Required fees include all fixed sum charges that are REQUIRED of a majority of program students.
Room refers to charges for rooming accommodations for a typical program student.
Board refers to charges assessed to program students for an academic year for meals.

Note: Please report what a typical student is CHARGED to attend your program – not what they pay after scholarships/other financial support. If tuition or fees are waived, please report the amount that would be charged before being waived.

The first question (CH_type) asks programs to indicate the type of student they are reporting charges for. These "types" are based mostly on distinctions regarding residency. Please complete this for each unique charge type for your program.

The first step is to let us know how your program structures charges to students. Please check the boxes below that are true for your program.

Check this box if your TPSID program did not have any charges this year

(If checked) Please explain why your program did not have any charges this year:

Check this box if your TPSID program is not able to report student charges using the options provided here.

(If checked) Please explain why you are not able to report charges using the options provided. A member of our team will then be in touch:

CH_Type. Which Type of Student Charges Structure are you reporting?

All students (use when charges to students do not vary based on residential status)
Student living in student housing
Commuter student
In-state
Out-of-state
In-county
Out-of or Non-county
City Resident
Student who is NOT a city resident
International student
Part time student
Full time student
Other type of student. Please specify:

CH_Total. What are the average total charges (including tuition, required fees, room and board) for this type of student to attend your program?

CH_Comp. If charges for this type of student are not broken out into individual categories because your Program charges a comprehensive fee that is all inclusive check here (Complete Comprehensive fee components)

Comprehensive Fee Components (fill this out only if your program charges a comprehensive fee. Otherwise, skip to CH_Categories)

Tuition
Required Fees

Room
Board
Other - Please specify:

CH_Categories. Please indicate the categories for which you charge this type of student for each category selected.

Tuition (if selected, specify the average charge to a program student: $ )
Required fees (if selected, specify the average charge to a program student: $ )
Room (if selected, specify the average charge to a program student: $ )
Board (if selected, specify the average charge to a program student: $ )

COURSES TAKEN BY STUDENTS

Please provide the following information for each course that had at least one program student enrolled in it this year:

Please enter the course code (e.g., ENG110): CO1.What is the Course Title (e.g., College Writing):

CO1_1. Does this course have prerequisites that must be met before the student can enroll in this course? E.g., declared major, completion of lower-level courses?

CO2a. Which of the following best describes this course? Please refer to the inclusive vs. specialized course decision tree.

Inclusive (attended by program and non-program students)
Specialized (attended only by program students)

Term_Length. What is the length of the term for this course, e.g., semester, trimester, or quarter?

Semester
Quarter
Trimester
Other

Credits. How many credits are awarded for successful completion of this course? (Please report the number of credits awarded even if TPSID program students do not earn these credits):

CO2b_new. What type of credits are awarded for TPSID program students who complete this course?

Typical college/university credits that can be used towards a degree or certificate

Credits that are only available to TPSID program students that CANNOT be used towards a regular college/university degree or certificate
Continuing education credits
No credits are awarded to students who complete this course

CO2a_3 (for specialized courses only) Does this course appear in your college/university’s course catalog?

CO3. (For specialized courses only) What subjects are covered in this course? Check all that apply.

Academic skills
Career preparation instruction
Independent living instruction
Technology training/computer literacy
Social skills training
Travel training instruction
Other. Please specify:

Shape8

STUDENT LEVEL DATA

Note: All references to “Program” refer to the TPSID program enrolling students with intellectual disability for which you are reporting data. These data are reported for each student in your program.

STUDENT CORE DATA

First_Year. What was this student’s first year in the program?

2009-10
2010-11
2011-12
2012-13
2013-14
2014-15
2015-16
2016-17
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23
2023-24
2024-25
2025-26

During which term did this student begin attending your program?

Fall term (beginning of Fall semester, quarter, etc.)
Spring term (beginning of Spring semester, quarter, etc.)
Summer term (select if student is enrolled for a full summer term prior the Fall term)
Other (select this if the terms listed do not accurately describe when the student started the program)

SC1. What was this student’s age in years as of 10/1/2025? (Note that the year for this item will be updated each Fall semester) Ages entered will be automatically updated in the system.)

SC2. What is this student’s sex?

Male
Female

Question SC4_New asks about this student's race. Race and ethnicity categories are based on March 2024 U.S. Office of Management and Budget (OMB) guidance, Statistical Policy Directive No. 15: Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. For more information please visit https://spd15revision.gov/.

SC4_New. What is this student’s race and/or ethnicity? Select all that apply.

American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White

SC_ID. Does this student have intellectual disability?

SC5. What disabilities does this student have (other than intellectual disability)? Check all that apply

None of these disabilities
Autism
Deaf blindness
Deafness
Developmental delay
Emotional disturbance
Hearing impairment
Multiple disabilities
Orthopedic impairment
Other health impairment
Specific learning disability
Speech or language impairment
Traumatic brain injury
Visual impairment, including blindness

(If SC_ID = Yes). SC5a. What documentation did you use to confirm this student has an intellectual disability?

ID was not confirmed through documentation
Neuropsychological or psychological examination report
Physician’s documentation of disability
Individualized Education Program
SSA Disability Determination
Document from another government agency such as VR or Medicaid
Other. Please specify:

SC6. What types of government benefits is this student receiving? Check all that apply. Note: this question asks only about benefits received. Information on funding for program costs or VR/Medicaid services received is reported elsewhere.

None
SSI (Supplemental Security Income)
SSDI (Social Security Disability Insurance)
Medicaid benefits (e.g., waiver)
Other. Please specify:
Don’t know

SC8. Which of the following best describes the curriculum and educational setting the student experienced in their high school prior to entry into the program? Check one.

Fully included (no special education classes)
Special education classes only
Spent majority of their time in inclusive setting
Spent an equal amount of their time in inclusive and special education settings
Spent majority of their time in special education classes
Homeschool
Other, please specify:
Don't know

SC10. Was this student ever employed for pay at or above minimum wage prior to entry into the program? Choose one.

Yes
No
Don’t know

SC16. Does the student have a legal guardian?

Yes
No
Not sure

EXIT INFORMATION

Check here if this student exited without attending the program. You should check this when a student planned to enroll but did not end up attending the program.

AS3A_1. Did this individual exit the program this year?

Yes (Complete Student Exit Survey)
No

COURSE ENROLLMENTS

Please report the following information for each course the student is taking. Course name:

During which term did student take this course?

Fall semester
Spring semester
Summer session
Full Academic Year
1st quarter
2nd quarter
3rd quarter
4th quarter
1st trimester
2nd trimester
3rd trimester

AC1. Which of the following best describes the student's enrollment in this course from the perspective of the college/university? Choose one.

Enrolled for credit that can only be used towards the TPSID program credential
Enrolled for standard college/university credit
Enrolled not for-credit or as a non-credit student
Audit
Unofficially attending the course/sitting in

AC1_2. Did the student receive a grade for this course? (Note: this could be a letter grade or pass/fail)

AC2a. Is the student taking this course because it is related to their career goals?

AC3. Was this course delivered in person, fully online, or hybrid (both in person and online)?

In person
Fully online
Hybrid

ACADEMIC STATUS

AS1. Is this student receiving special education services under IDEA AND enrolled in the postsecondary education program?

AS2. What is the student’s high school graduation status? Choose one.

Received certificate of completion or attendance
Received standard diploma
Received modified or special diploma
Received GED/high school equivalency certificate
Dropped out
Still enrolled – has not yet completed high school
Other. Please specify:

AS3A. What is the residency status of this program student for the purposes of tuition and fees?

In-state student
Out-of-state student
International student
Other (please specify: )

AS3B. Which of the following best describes this student's enrollment status?

Full Time
Part Time

AS4. What year of the program is the student in? Choose one.

1st year
2nd year
3rd year
4th year
Beyond 4^thyear

AS14. In what credential program(s) is the student currently enrolled?

Select from dropdown list of credentials offered by the program.

AS14b. Check this box if the student has not yet decided on a credential program.
AS14c. Check here if the program’s credential is still under development.

AS14a. Is the student enrolled in any other credential program other than those listed above?

(If yes to AS14a) AS14atxt. If so, which credentials?

AS11_1a. Is the student registered with the Disability Services Office (DSO) to receive supports or accommodations?

AS11_1. Did this student get any supports or accommodations from the Disability Services Office (DSO) on your campus this year?

AS11_2. (If "Yes" to previous question) Please indicate the degree to which the DSO provided supports/accommodations for this student on-campus.

The DSO provided all supports/accommodations for this student
The DSO provided some supports/accommodations for this student and other entities (program staff, faculty, peer mentors, etc.) provide the rest.

(If no to AS11_1 or no to AS11_1a) AS11_3. Was this student denied services from the DSO?

(If yes to AS11_3) AS11_3txt. Why was this student denied services from the DSO?

FINANCING EDUCATION

Fin_Aid. Did this student receive any of the following forms of Federal Financial Aid this Year? Check all that apply

Federal Work Study (not a state work study)
Pell Grant
Supplemental Educational Opportunity Grant
Parent PLUS loans
This student did not receive any federal financial aid this year.

F1. Which of the following funding sources are used to pay tuition and related fees for this student? Check all that apply.

Students are not charged tuition to attend this program
Tuition is waived for this student
Private pay (student and family)
Scholarships
State intellectual/developmental disability (IDD) services agency: state or local funds
Local Education Agency
Private student loans
Federal/State grant
Foundation/Private grant
State Vocational Rehabilitation agency funds

State IDD Services Agency: Medicaid Home and Community-Based Services (HCBS) Waiver funds
Tuition Waivers via VR or Social Security
National Service grants
Social Security funds e.g., PASS plan
Other funding source. Please specify:
Don’t know/None of these sources are used to fund the student’s tuition

F2. Which of the following funding sources are used to pay for non-tuition expenses (e.g., housing, meal plan) for this student? Check all that apply.

Private pay (student and family)
Scholarships
State intellectual/developmental disability (IDD) services agency: state or local funds
Local Education Agency
Private student loans
Federal/State grant
Foundation/Private grant
State Vocational Rehabilitation agency funds
State IDD Services Agency: Medicaid HCBS Waiver funds
Tuition Waivers via VR or Social Security
National Service grants
Social Security funds e.g., PASS plan
Other funding source. Please specify:
Don’t know/None of these sources are used to fund the student’s non-tuition expenses

WIOA IMPACT

WIOA1a. Was this student enrolled in a state vocational rehabilitation program (VR) at any point this year?

WIOA1. Did this student receive services or funding from a state VR program this year?

(If no to WIOA1) WIOA1_1. Was this student denied services or funding from a VR program this year?

If yes, please explain why:

WIOA2. (If yes to WIOA1) Please check which of the following services this student received from your state Vocational Rehabilitation office during this year (other than pre- ETS services – see WIOA2a).

Note: If a student receives support from VR to pay tuition and non-tuition program expenses, this should be reported on the Student Financing Education section.

Rehabilitation counseling and guidance
Disability restoration services (e.g., therapy, medical/surgical/medicinal interventions, cognitive strategies, or other treatments targeted to ameliorate disability-related functional limitations, other than Assistive Technology)
Benefits counseling
Social skills instruction
Job readiness training
Job coaching
Supported or customized employment (SE/CE)
Assistive technology
Other. Please specify:

WIOA2a. Did the student receive any of the following pre-ETS services this year?

Self-advocacy instruction
Work-based learning experiences and/or internships
Workplace readiness training to develop social skills and independent living
Job exploration counseling
Counseling on opportunities for enrollment in comprehensive transition or postsecondary educational programs
None/Don’t know

WIOA3. Has this student applied for Medicaid benefits?

Yes
No
Student has not applied for Medicaid
I don't know this student's Medicaid application status

WIOA4. Is this student receiving Medicaid benefits?

Yes
No
I don't know

(If yes to WIOA4) WIOA5. Does this student use a Medicaid Home and Community Based Services (HCBS) waiver to support them in this program?

Medicaid waiver pays for the cost of attendance (tuition, fees)
Medicaid waiver pays for the cost of housing
Medicaid waiver pays for non-employment related supports from a person or persons
Medicaid waiver pays for employment supports/services
Student does not use Medicaid waiver funds to support them in this program.

LIVING SITUATION

LS1. Did this student live in a residence provided by or associated with the college/university or program at any point during this year?

Yes. Skip to question LS3_1
No. Answer question LS2 only

LS2. In which type of residence not provided by or associated with the college/university or program did the student live? Choose one.

Independent - on their own or with roommate(s)
With family
Supervised apartment or supported living situation
Group home
Other. Please specify:

(If LS1 = Yes) LS3_1. In which type of residence offered by or associated with college/university or TPSID program did the student live? Select one.

Residence hall
On-campus apartment
Off-campus apartment
Other. Please specify:

(If LS1 = Yes) LS3_2. Which of the following best describes this residence? Select one.

Available to all college/university students
Specifically for TPSID program students

(If LS1 = Yes) LS4. Which of the following residential supports does the student receive? Check all that apply.

None
Roommate/suitemate who receives compensation
A roommate/suitemate who provides supports without compensation
Residential Assistant or Advisor who provides supports
Continuous staff support
Intermittent or on-call staff support
Other support. Please specify:

CAREER DEVELOPMENT ACTIVITIES

On this form, you will report information about students' career development and employment experiences this year. Please provide information for EACH student experience. Career development and employment experiences have been organized into 5 categories: career awareness and exploration, work-based learning, job seeking, employment, and other work.

Career Awareness and Exploration

Career awareness and exploration is defined as workforce preparation activities that build awareness of careers as well as awareness of specific types of jobs within certain careers. Activities involve introducing students to workplaces for the purpose of gaining information about an industry or job. Other activities include building general skills required for participating in job search activities.

Type of career	Academic term	How many times
awareness or		did this student
exploration		do this activity
		during the term?
Company tour
Career fair
Job shadow
Informational interview

For each of the following categories, please note if the student did the particular activity in the given term as well as any other information requested.

Type of career	Academic term	Did this student
awareness or		do this activity
exploration		during the term?
		Y/N
Labor market research
Interest inventory
Mock interview
Create or revise resume
Gathered references
Created LinkedIn profile
Other. Please specify:

Work-Based Learning

Work-based learning (WBL) experiences are time-limited activities designed to help students develop and practice workplace-specific skills as well as general employment or soft skills. The primary purpose of work-based learning is to prepare for a particular job or improve general employment skills. Can be paid or unpaid. Can be related or unrelated to coursework. This includes internships.

WBL1. Type of work-based learning

Internship
Service learning
Student enterprise
Apprenticeship
Other. Please specify:

Name of the employer or organization student is engaged in WBL with:

WBL start date: mm/dd/yyyy

WBL exit date: mm/dd/yyyy (entered only if student leaves/completes this WBL) WBL2. Typical hours per week:

WBL3. Is this experience paid or unpaid?

Paid
Unpaid

WBL4. If paid, hourly rate of pay (in dollars): WBL5. If paid, who paid the student?

Employer
The TPSID program
Other

Check this box if this WBL resulted in paid employment (also copy into an employment record)

Check if this applies:

Student had no WBL this year

Job seeking

Job seeking is defined as activities in which students apply for and/or gain paid employment, including completing and submitting job applications and participating in actual job interviews.

Please report for each month: the number of job applications submitted, number of job interviews completed, and number applications/interviews that resulted in paid employment.

Month

WP. Number of job applications submitted

during month

WP. Number of job interviews this month

WP. Number of job offers received this month

Paid Employment

Employment is work paid by an employer done with a primary purpose of earning income as opposed to performing work as part of a learning or career preparation activity. Employed

students typically earn wages at or above federal minimum wage. These positions do not need to be related to students’ long-term career intentions. Employment does not include internships.

Individual paid employment: A person works in the competitive labor market and receives at least minimum wage paid by the employer directly related to the work performed.
Federal work study: The Federal Work Study (FWS) Program provides funds that are earned through part-time employment to assist students in financing the costs of postsecondary education. Hourly wages must not be less than the federal minimum wage.
Self-employment
Other

Please report the following information for each paid employment position the student has.

Job10. Name of the employer:

Job11. Student’s job title at this job:

Job start date: mm/dd/yyyy

Job exit date: mm/dd/yyyy (enter only if student leaves this job)

Job1. Please select the category that best describes this job:

Individual paid job
Federal work-study
Group paid work (Enclave or mobile work crew)
Self-employed
Sheltered workshop
Other. Please describe:

Job 1_2. Who pays the student at this job?

Employer
The TPSID program
Other. Please specify:

JA1. Do you know this individual’s exact hourly rate of pay at this job?

If yes: JA1a. Please provide this student’s hourly rate of pay $

If no: JA1b. Please describe the wages earned at this job:

Above federal minimum wage
Federal minimum wage
Below federal minimum wage

Don’t know

JA2. Do you know this individual’s exact number of hours worked per week at this job?

If yes: JA2a. Please provide the student’s average hours worked per week

If no: JA2b. How many hours per week on average does the individual work in this job?

Under 5 hours per week
Between 5 and 10 hours per week
Between 11 and 20 hours per week
Between 21 and 30 hours per week
Between 31 and 40 hours per week
Over 40 hours per week

Check if this applies:

Student had no paid employment this year
- If checked, please enter why:
Student had no WBL this year
- If checked, please enter why:

Other Student Work

OW1. If the student had any short-term/temporary paid work experiences such as public speaking, event-specific, gig or freelance work please describe the work and their pay: (Tool tip: 3 public speaking engagements for which they were paid $250 each):

STUDENT EXIT SURVEY

EX1. What was this individual’s date of exit from the program? mm/dd/yyyy EX2. What were the reasons for the individual’s exit? Check all that apply

Student completed TPSID program
Student completed another degree or certificate program other than the TPSID program
Student transferred to another postsecondary education program (Answer EX2a)
Student no longer wanted to attend TPSID program. Please specify why:
Student was dismissed from TPSID program. Please specify why:
Unknown
Other reason. Please specify:

(If EX2 = Student transferred to another postsecondary education program) EX2a. Which type of program did the student indicate plans to transfer to?

A non-degree postsecondary education program for students with ID
A degree postsecondary education program for students with and without ID

Academic Achievements

The section below is where you can report all academic credentials earned at the point of exit or at any time during their enrollment in your program. The first three pull down menus will allow you to select from a list of credentials offered to students in your program. If this student earned more than three of those credentials or earned any credential(s) not listed, check the box for another credential not listed and write in the other credentials they earned.

Check this box if the student did not earn a credential

EX3. Which credential or credentials did this student earn? Please report all credentials the student earned while in your program.

Credential 1:

Credential 2:

Credential 3:

Another credential not listed.

If it is a credential earned through your TPSID, at your college/university, or online, please add to your list of credentials so that it will appear in the drop-down list).

If the credential was taken at another college/university please specify (1) the credential, (2) the college/university:

EX3_additional. Did this student complete the coursework for any other credential, but did not earn the credential for some reason?

EX3_additional_credential. If yes, what credential? EX3_additional_reason. Why did they not earn this credential?

EX5. Which of the following unpaid/volunteer experiences was this individual planning to participate in after program exit? Check all that apply

This individual did not participate in unpaid/volunteer experiences at the time of exit from the program
Service-learning opportunities
Unpaid internships (for-credit or not for-credit)
Volunteering and/or Community service
Unpaid individual work training sites
Other unpaid/volunteer experience. Please specify:

EX6. In which type of residence did the student plan to live after program exit? Choose one

With family
Independent - on their own

Supervised apartment or supported living situation
Group home
Other. Please specify:

EX7. What types of benefits was this student receiving after program exit? Check all that apply.

None
SSI (Supplemental Security Income)
SSDI (Social Security Disability Insurance)
Medicaid/Home and Community Based Waiver Program
Other. Please specify:
Don’t know

EX9. Did this student indicate plans to continue to further postsecondary education?

Which college/university: Which academic program:

EX10. What post program supports was the student connected with upon exit?

State intellectual/developmental disability (IDD) services agency
State Vocational Rehabilitation agency
Center for Independent Living
Day program
Life coach
Social Security benefits counselor
Alumni association
Special Olympics
Leisure/community groups
Other. Please specify:

EX_job. Did this student have paid employment on the day they exited from the program that they expected to keep?

If the student does not have paid employment on the day of exit from the program, you will receive periodic reminders to report any employment the student obtained up to 90 days after exit.

For any jobs held by the student on the day of exit or obtained up to 90 days after exit, you will be asked to report:

Employer
Job title

Job type
Job start date
Job exit date (if applicable)
Will the student remain in the job after exit?
Hourly earnings
Weekly hours worked

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FOLLOW-UP

TPSIDs are required to report follow-up data on students who complete their programs once per year for 5 years. The following survey is used to gather follow-up data on former students.

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Please take a few minutes to tell us about what you are doing now. This survey helps make college better for students like you. If you are unsure about how to answer, ask a family member or friend to help you. Please return the survey in the envelope provided. Thank you!

Date completed:

Please check one:

I am completing this survey myself or
Someone helped me complete the survey

Work

How many different paid jobs do you have now? job(s)

Thinking about all the jobs you have, about how many hours do you usually work in one week? hours

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Next, we will ask you about any individual paid jobs that you have.

An individual paid job means you make at least federal minimum wage ($7.25 an hour) and you get paid for your work by your employer. This can include self-employment.

Is at least one of your jobs an individual paid job? Yes No

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If you answered yes to Question 3, answer Questions 4-14 (on the next page).

If you have more than one job, only answer these questions for the individual paid job where you spend the most time working.

If you answered no to Question 3, skip to Question 15.

At your individual paid job where you spend the most time:

What is the name of the company or business you work for?

(For example, Target or FedEx. If you are self-employed, write “self”)

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What is your job title?
About how many hours do you work in one week at this job? hours
Do you want to work more hours? Yes No Don’t know

When did you start this job? Enter the date:
How much are you paid per hour at this job? (Hint: look on your paystub).

$ per hour

Overall, how happy are you with this job? Choose one:

Very happy Happy Unhappy Very unhappy

Have you received a raise in the last year? Yes No Don’t know

Do you receive any of these benefits at your job? Check all that apply.

Paid time off	Life insurance
Sick leave	Retirement account (this might be called a 401(k) or IRA)
Health insurance	I don’t know

Is this the same job you had a year ago? Yes No Don’t know

If you answered no to question 13, what changed? Check one.
- I have a new position with a new employer
- I have a new position with the same employer
- I have the same position, but my job description has changed

Now answer the following question (everyone).

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In the past year have done any other type of work or work training? Check all that apply.
- Paid internship/work training (You learn how to do a particular type of job so that you are more qualified for that type of job in the future and you are paid)
- Unpaid work experience or training (You do some unpaid work for training, but you do not have a regular paid job with an employer)
- Group paid work (enclave or mobile work crew) (You work with a group of people with disabilities often moving from one worksite to another. You all do the same type of work (i.e., cleaning crew, landscaping, packing, restocking supplies).)
- Sheltered workshop (You work in a location with other people with disabilities. Some examples of work you might do include sorting and assembling small parts, packaging products, or putting together materials for kits or mailings.)

15a. (if # jobs = 0 AND no response to 15) Why do you not have a job?

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Are you looking for a job now? Yes No Don’t know

a. If yes, why are you looking for a job?

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Other

(Not including any college courses taken at your TPSID program that you completed) In the last year, have you taken any classes at a college, university, or vocational/technical school or online? Yes No Don’t know

If you have, what is the name of the school and the program? School (for example, Palmetto County Community College)

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Program (for example, the Graduate Transition Program)

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Did you earn a degree or certificate? Degree Certificate Neither Don’t know

If you did, what is the name of the degree or certificate?

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(if no to 17). 17d. Would you like to take classes in the future? Yes No Maybe

In the last year, have you done any volunteer work or community service? Yes No Don’t know

Do you spend time each week at a day program or center with other people with disabilities?

Yes No Don’t know

Are you in touch with friends you made in your college program? Yes No Don’t know
Thinking about your social life, in other words the time you spend with friends and family doing activities together. How happy are you with your social life? Choose one:

Very happy Happy Unhappy Very unhappy

Where do you live now? Choose one:

I rent an apartment or home	Group home
I own my home	Other:
I live in my family’s home

Who do you live with? Check all that apply:

No one, just me	With a roommate or roommates
With a family member	With a significant other or spouse
Other:

Thinking about your living situation, in other words where you live and who you live with. How happy are you with your living situation? Choose one:

Very happy Happy Unhappy Very unhappy

Thinking about the supports you have in your life, like the people who help you with at work, at home, or in the community. How happy are you with the supports you have? Choose one:

Very happy Happy Unhappy Very unhappy

Do you receive any of these benefits? Check any that you know of:

None	Unemployment
SSI (supplemental security income)
SSDI (social security disability insurance)	Other:
Medicaid/waiver	Don’t know

Do you have health insurance? Yes No Don’t know

Thinking about your life as a whole. How happy are you with your life currently? Choose one:

Very happy Happy Unhappy Very unhappy

If there is anything else you want us to know about what is currently happening in your life, share it here:

Thank you!

Updated 12/16/24

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Version 12/16/24

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Kennedy, Lauren
File Modified	0000-00-00
File Created	2025-09-19