2015 AP Test Fee Documentation Please Note: According to 702 KAR 3:220, districts should not collect any amount of the AP test fee from low-income students, but instead pay the amount, after the federal grant funds are applied. Question Title * 1. District Name: Private School 001- Adair County 005- Allen County 006- Anchorage Independent 011- Anderson County 012- Ashland Independent 013- Augusta Independent 015- Ballard County 016- Barbourville Independent 017- Bardstown Independent 021- Barren County 025- Bath County 026- Beechwood Independent 031- Bell County 032- Bellevue Independent 034- Berea Independent 035- Boone County 041- Bourbon County 042- Bowling Green Independent 045- Boyd County 051- Boyle County 055- Bracken County 061- Breathitt County 065- Breckinridge County 071- Bullitt County 072- Burgin Independent 075- Butler County 081- Caldwell County 085- Calloway County 091- Campbell County 092- Campbellsville Independent 095- Carlisle County 101- Carroll County 105- Carter County 111- Casey County 113- Caverna Independent 115- Christian County 121- Clark County 125- Clay County 131- Clinton County 132- Cloverport Independent 133- Corbin Independent 134- Covington Independent 135- Crittenden County 141- Cumberland County 143- Danville Independent 145- Daviess County 146- Dawson Springs Independent 147- Dayton Independent 149- East Bernstadt Independent 151- Edmonson County 152- Elizabethtown Independent 155- Elliott County 156- Eminence Independent 157- Erlanger-Elsmere Independent 161- Estill County 162- Fairview Independent 165- Fayette County 171- Fleming County 175- Floyd County 176- Fort Thomas Independent 177- Frankfort Independent 181- Franklin County 185- Fulton County 186- Fulton Independent 191- Gallatin County 195- Garrard County 197- Glasgow Independent 201- Grant County 205- Graves County 211- Grayson County 215- Green County 221- Greenup County 225- Hancock County 231- Hardin County 235- Harlan County 236- Harlan Independent 241- Harrison County 245- Hart County 246- Hazard Independent 251- Henderson County 255- Henry County 261- Hickman County 265- Hopkins County 271- Jackson County 272- Jackson Independent 275- Jefferson County 276- Jenkins Independent 281- Jessamine County 285- Johnson County 291- Kenton County 295- Knott County 301- Knox County 305- LaRue County 311- Laurel County 315- Lawrence County 321- Lee County 325- Leslie County 331- Letcher County 335- Lewis County 341- Lincoln County 345- Livingston County 351- Logan County 354- Ludlow Independent 361- Lyon County 365- Madison County 371- Magoffin County 375- Marion County 381- Marshall County 385- Martin County 391- Mason County 392- Mayfield Independent 395- McCracken County 401- McCreary County 405- McLean County 411- Meade County 415- Menifee County 421- Mercer County 425- Metcalfe County 426- Middlesboro Independent 431- Monroe County 435- Montgomery County 441- Morgan County 445- Muhlenberg County 446- Murray Independent 451- Nelson County 452- Newport Independent 455- Nicholas County 461- Ohio County 465- Oldham County 471- Owen County 472- Owensboro Independent 475- Owsley County 476- Paducah Independent 477- Paintsville Independent 478- Paris Independent 481- Pendleton County 485- Perry County 491- Pike County 492- Pikeville Independent 493- Pineville Independent 495- Powell County 496- Providence Independent 501- Pulaski County 502- Raceland Independent 505- Robertson County 511- Rockcastle County 515- Rowan County 521- Russell County 522- Russell Independent 523- Russellville Independent 524- Science Hill Independent 525- Scott County 531- Shelby County 533- Silver Grove Independent 535- Simpson County 536- Somerset Independent 537- Southgate Independent 541- Spencer County 545- Taylor County 551- Todd County 555- Trigg County 561- Trimble County 565- Union County 567- Walton-Verona Independent 571- Warren County 575- Washington County 581- Wayne County 585- Webster County 586- West Point Independent 591- Whitley County 592- Williamsburg Independent 593- Williamstown Independent 595- Wolfe County 601- Woodford County 602- Kentucky School for the Blind 603- Kentucky School for the Deaf 607- Fort Campbell Dependent 608- Fort Knox Dependent Other Question Title * 2. School Number: Question Title * 3. School Name: Question Title * 4. Coordinator Information: Coordinator Name: Coordinator Email: Coordinator Phone Number: Question Title * 5. How many students used the AP test fee reduction? Question Title * 6. How many exams were taken using the AP test fee reduction? Question Title * 7. Please check each statement to verify that it is true. The school or district will retain a list on file of students who used the AP exam fee reduction. I have verified that all students who used the AP exam fee reduction are eligible for the fee reduction. I have verified that all students who used the AP exam fee reduction are enrolled in the corresponding course. The school or district has collected NO money from low income students for AP exam fees. Comments: Question Title * 8. How did your school or district pay for the exam fees for low income students? (check all that apply) AP Fund General Fund Corporate Sponsor Community Sponsor Private Donations Fundraiser Other (please specify) Question Title * 9. How are you verifying that the students are eligible for the fee reduction? (check all that apply) List of students on free/reduced lunch Documentation showing students are ELIGIBLE for free/reduced lunch Other (please specify) Question Title * 10. Do you have any questions or clarifying comments? Question Title * 11. Assurance: I verify that all of the responses in this survey are accurate to the best of my knowledge. For questions, please contact Amy Patterson at the Kentucky Department of Education.502-564-4970 x4513amy.patterson@education.ky.gov Done