Program Information Form

The Program Information Form is intended to collect information about your program and the youth you serve. In addition to providing you with guidance in collecting valuable information throughout the school year, the Form provides UAN with vital information on the overall climate and makeup of afterschool programs throughout the state.

UAN will utilize the information you provide to assess growth and utilization of programs, identify gaps in afterschool coverage around the state, and to inform our afterschool advocacy and education efforts.s. The information you provide is vital to our efforts to identify your successes and needs and may be utilized in future State of Afterschool reports. The information you provide is also utilized by the Utah State Board of Education, The Department of Workforce Services Office of Childcare, and the Utah Education Policy Center.

*COVID-19 Update:*

It is understandable that you may face obstacles in completing this form at this time, as several programs are currently closed and you may be working away from home where you may lack access to needed information. We ask that you complete this form to the best of your ability, and if there is information that is unavailable to you, you are fine to proceed without it. We do ask that you complete this to the best of your ability as the data will be utilized in the coming year to advocate for programs. Since some data from this year such as end-of-year testing results will not be available, the data you provide will carry even more weight.

If you do not have data to answer a question, please enter a 0 for numeric answers or N/A for written answers.

In light of several program closures, programs operating as emergency child care programs, or programs operating with significantly decreased attendance due to COVID-19, we ask that you provide data through March 13th, 2020, which is when schools and the majority of programs closed.

Please read the following information carefully before proceeding with your submission:

  • The Program Information Form is not the end of year report for either DWS,OCC or USBE funded programs. Each of these state agencies will contact you with information to submit end of year reports.
  • If the program does not have funding from the Department of Workforce Services, Office of Child Care or the Utah State Board of Education, please contact UAn to be assigned a Program ID number.​
  • Before beginning your online submission, we advise that you download and complete the Program Information Form PDF. Submitting the program information form is easier when you have collected all data and information in advance, and then use the completed PDF as your guide to complete your online submission. You should also have your Quality Tool Submission from the fall. Contact your OST Specialist if you need a copy of your submission.

Thank you for taking the time to collect and submit this information and for all you do to serve youth and families throughout the state!

If you have any questions about the data you need to collect, or filling out the form, please reach out to your OST Specialist or email us at .

The Program Information Form will be open for submission April 6 - May 29, 2020.

Submit Your Program Information Form


Looking for the Quality Tool page?