NC Schools Activity Report
Completing the Service to NC Schools Activity Report
As part of our extension mission, it is important to report the in- kind service contributions of all NC State units and individuals to K-12 schools in our state. We are responsible for reporting these activities to UNC General Administration (see UNC Policy Manual 400.4.3) and also to the NC Department of Public Instruction. Data on our service to school districts are also helpful to NC State as part of planning for Extension, Engagement, and Economic Development efforts. NC State is currently in the process of responding to the UNC Tomorrow Commission Report. We need to report our existing programs, initiatives, and activities in the response area of "Our Children and Our Future" as accurately as possible.
A web-based form is available for reporting services provided to any K-12 school district in NC. Activities can be reported at any time. We encourage all providers to report soon after each event.
If school services data are collected and compiled in a spreadsheet in your unit, please feel free to send that spreadsheet via email. Please make sure the spreadsheet contains all of the information requested in the online form. An Excel format is available below. (Email to grable at ncsu.edu or sue_bullard at ncsu.edu).
Thank you for your attention to this important component of the University outreach mission. If there is someone in your unit who should be receiving reminder emails, please forward this and let us know so that she/he/they can be added to our list.
Click on one of the links below to open the "Service to NC Schools Activity Report":
• Online fillable form (*.html)
• Excel worksheet (*.xls)
• Word document (*.doc)
• PDF file (*.pdf - must have Adobe Acrobat Reader in order to view file)
Use this form to report on services provided to ALL K-12 school districts in North Carolina.
Report only one (1) activity per Activity Report form. However, the activity may be of an on-going nature such as a series of workshops.
Date(s) of service: Show the date(s) the service was rendered, not including the preparation days.
Description of activity: Briefly describe the purpose and format of the activity.
School districts served: Report schools and districts served.
Number served: Indicate number of participants.
Location: Check as appropriate to indicate whether the service took place in a university, school district, Technical Assistance Center or other facility. Indicate the city and county where the activity took place.
Number of university faculty involved: Indicate how many individual faculty members took part in planning and/or providing the service. Please list their names.
Service Measure: In order to measure the services performed, a unit called a "service measure" has been established. It is important to note that the service measure is not a charge for services. It is a derived amount that can be used to record and account for the services rendered.
The service measure accounts for the personnel cost involved. It includes salary, based on a weighted average of budgeted teaching salaries, social security, state retirement, and medical insurance.
In accounting for each service activity rendered, include at least two (2) preparation days for each day of service. For example, calculate the service measure for a two-day workshop as follows:
Service days: 2 days at $300 each
Preparation days: 4 days at $300 each
Service measure: 6 days at $300 each = $1,800 total
Travel: Report travel expenses in accordance with standard institutional regulations. Include transportation, meals, lodging, and incidentals. (Do not report travel expenses that have been covered by school district or TAC funds.)
Materials: Include costs such as photocopying, printed materials, other media, office supplies, etc.
Miscellaneous: Include costs not shown in the above categories. Provide a brief description.
Total: The total of the service measure, travel, materials, and miscellaneous indicates the total in-kind service contribution of the institution for the reported activity.
