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NCC National Community CollegeBP Benchmark nal Community CollegeBenchmarkProjectNCCBPThis is a print view of the NCCBP workbook and cannotbe sent in to substitute for the online data entry process.NCCBP staff are unable to enter data for your institution.Please also be aware that data definitions may changefrom year to year. Do not use this workbook as a basisfor future data submissions.Do not hesitate to contact us at NCCBP.org or913-469-8500, ext. 3831, if you have questions orencounter data entry problems. Thank you for yourparticipation in the National Community CollegeBenchmark Project.www.NCCBP.org

Form 1 Subscriber InformationFields with an asterisk (*) are required. Please note that this form will notsave unless you provide the data for all required fields.Service AreaUse legal definition of service area and most recent census estimates.Total Population: * . . . . . . . . . . . . . . . . . . . . . .Service Area Total Population should reflect state’s definition of your institution’s service area,most recent census estimates, and include all age groups.Unemployment Rate: * . . . . . . . . . . . . . . . . . . .%Median Household Income: . . . . . . . . . . . . . . . . Enrollment InformationUse fall 2013 data.IPEDS Fall Enrollment: * . . . . . . . . . . . . . . . . . .Full-time Credit Headcount plus Part-time Credit Headcount should equal IPEDS Enrollment.Full-time Credit Headcount: . . . . . . . . . . . . . . . .Part-time Credit Headcount: . . . . . . . . . . . . . . . .High School StudentConcurrent Enrollment Headcount: . . . . . . . . . . .%High School Student Concurrent Enrollment - Headcount should be the percent of IPEDS FallHeadcount Enrollment that includes high school students enrolled either on campus, at theirhigh school, or online.Pell Grant Recipients: . . . . . . . . . . . . . . . . . . . .%Pell Grant Recipients should be the percent of IPEDS Fall Headcount Enrollment who receivedPell Grants.Non-credit Headcount: . . . . . . . . . . . . . . . . . . . .Female Credit Students: . . . . . . . . . . . . . . . . . . .%First-generation Student: . . . . . . . . . . . . . . . . . .%First-generation Student should be the percent of fall credit students that represent the firstgeneration of their families to attend a higher education institution.Transfer Credit Hours: . . . . . . . . . . . . . . . . . . . .%Transfer Credit Hours should be the percent of IPEDS Fall Enrollment credit hours thatincludes full- and part-time students enrolled in courses that do not award career or technicalcertification, but do award credit that is transferable to other postsecondary institutions.(For example, English, History, and Math would be considered transfer credit hours.)2

Technical/Career Credit Hours: . . . . . . . . . . . . . .%Technical/Career Credit Hours should be the percent of IPEDS Fall Enrollment that includescredit hours by full- and part-time students enrolled in programs that award career or technicalcertification that is not transferable. (For example, automotive technology credit hours, interiordesign credit hours, and practical nursing credit hours would be considered technical/careercredit hours.)Developmental Credit Hours: . . . . . . . . . . . . . . .%Developmental Credit Hours should be the percent of IPEDS Fall Enrollment that includes credithours by full- and part-time students enrolled in developmental/remedial courses as defined bythe institution.High School StudentConcurrent Enrollment Credit Hours: . . . . . . . . . .%High School Student Concurrent Enrollment - Credit Hours should be the percent of IPEDS FallCredit Hour Enrollment that includes high school students enrolled either on campus, at theirhigh school, or online.Credit Student Median Age: . . . . . . . . . . . . . . . .Race/EthnicityUse fall 2013 data. Race/ethnicity percentages should be IPEDS fall enrollment figures and total100 percent. Please refer to new IPEDS race/ethnicity definitions.Nonresident Alien: * . . . . . . . . . . . . . . . . . . . . .%Hispanics of Any Race: * . . . . . . . . . . . . . . . . . .%American Indian or Alaskan Native: * . . . . . . . . . .%Asian: * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .%Black or African American: * . . . . . . . . . . . . . . . .%Native Hawaiian or other Pacific Islander: * . . . . .%White: * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .%Two or More Races: * . . . . . . . . . . . . . . . . . . . .%Race and Ethnicity Unknown: * . . . . . . . . . . . . . .%3

Fiscal InformationTuition and Fees per Credit Hour: . . . . . . . . . . . . Use fall 2013 data: Tuition and Fees per Credit Hour are the tuition and fees that full-time,in-district students are charged per credit hour. Use the figure reported to IPEDS. Enter percredit hour figure, not total tuition and fees. Credit Courses are courses that are eligible forTitle IV federal financial aid.Unrestricted Operating Revenue: . . . . . . . . . . . . Use fiscal year 2014 data.Unrestricted Operating Revenue is defined by the National Association of College andUniversity Business Officers (NACUBO) as “resources received that have no limitations orstipulations placed on them by external agencies or donors.”Restricted Operating Revenue: . . . . . . . . . . . . . . Use fiscal year 2014 data.Restricted Operating Revenue is revenue with externally imposed restrictions that willaffect the use of resources or revenue. For example, revenue from donors that have imposedrestrictions of the use of the funds. Creditors or legislation may also impose restrictions on theuse of some funds.Operating Revenue SourcesUse fiscal year 2014 data. May not add up to 100 percent.4From Local Sources: . . . . . . . . . . . . . . . . . . . . .%From State: . . . . . . . . . . . . . . . . . . . . . . . . . . .%From Tuition and Fees: . . . . . . . . . . . . . . . . . . .%

Campus InformationCampus Type: * . . . . . . . . . . . . . . . . . . . . . . . .Single-campus, Multi-campus, or Multi-college districtCampus Environment: ** . . . . . . . . . . . . . . . . . .Urban, Suburban, or RuralFaculty Unionized: * . . . . . . . . . . . . . . . . . . . . .Yes or NoStaff Unionized: * . . . . . . . . . . . . . . . . . . . . . . .Yes or NoControl: * . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Public, Private, or ProprietaryCalendar: ** . . . . . . . . . . . . . . . . . . . . . . . . . . .Semester, Trimester, Quarter, Other.Does your college offer on-campus housing? . . . .Yes or NoDoes your college offer 4-year degrees? . . . . . . .Yes or No5

Form 2 Student Completionand TransferUse appropriate Fall IPEDS GRS cohorts.Full-time, first-time in fall 2012Unduplicated Headcount: . . . . . . . . . . . . . . . . .Enter unduplicated credit headcount of first-time, full-time degree- and certificate-seekingstudents in the fall 2012 IPEDS GRS cohort (future IPEDS submission). Degree and certificateshould be as defined by the reporting institution for credit student work.Number Completed Degree or Certificate: . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degreeor certificate before fall 2014. Students in the fall 2012 IPEDS GRS cohort (future IPEDSsubmission) who received degrees or certificates. Do not include those that completed a degreeor certificate and transferred to public and private four-year institutions. Only those studentswho received degrees or certificates but did not transfer should be included in “NumberCompleted Degree or Certificate”.Number Transferred: . . . . . . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who transferred to public andprivate four-year institutions before fall 2014. Please use National Student Clearinghouse data.Students in the fall 2012 IPEDS GRS cohort (future IPEDS submission) who received degreesor certificates and then transferred to four-year institutions should be included in degree orcertificate completition AND transfer number. Only those students who transferred but did notreceive degrees or certificates should be included in “Number Transferred.”Number Completed Degreeor Certificate AND Transferred: . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate AND transferred to public and private four-year institutions before fall 2014. Pleaseuse National Student Clearinghouse data. Students in the fall 2012 IPEDS GRS cohort (futureIPEDS submission) who received degrees or certificates and then transferred to four-yearinstitutions should be reported here.6

Full-time, first-time in fall 2011Unduplicated Headcount: . . . . . . . . . . . . . . . . .Enter unduplicated credit headcount of first-time, full-time degree- and certificate-seekingstudents in the fall 2011 IPEDS GRS cohort. Degree and certificate should be as defined by thereporting institution for credit student work.Number Completed Degree or Certificate: . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate before fall 2014. Students in the fall 2011 IPEDS GRS cohort who received degrees orcertificates. Do not include those that completed a degree or certificate and transferred to publicand private four-year institutions. Only those students who received degrees or certificates butdid not transfer should be included in “Number Completed Degree or Certificate”.Number Transferred: . . . . . . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who transferred to public andprivate four-year institutions before fall 2014. Please use National Student Clearinghouse data.Students in the fall 2011 IPEDS GRS cohort who received degrees or certificates and thentransferred to four-year institutions should be included in degree or certificate completition ANDtransfer number. Only those students who transferred but did not receive degrees or certificatesshould be included in “Number Transferred.”Number Completed Degreeor Certificate AND Transferred: . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate AND transferred to public and private four-year institutions before fall 2014. Pleaseuse National Student Clearinghouse data. Students in the fall 2011 IPEDS GRS cohort whoreceived degrees or certificates and then transferred to four-year institutions should be reportedhere.Part-time, first-time in fall 2011Unduplicated Headcount: . . . . . . . . . . . . . . . . . .Enter unduplicated credit headcount of first-time, part-time degree- and certificate-seekingstudents in the fall 2011 IPEDS GRS cohort. Degree and certificate should be as defined by thereporting institution for credit student work.Number Completed Degree or Certificate: . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate before fall 2014. Students in the fall 2011 IPEDS GRS cohort who received degrees orcertificates. Do not include those that completed a degree or certificate and transferred to publicand private four-year institutions. Only those students who received degrees or certificates butdid not transfer should be included in “Number Completed Degree or Certificate”.Number Transferred: . . . . . . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who transferred to public andprivate four-year institutions before fall 2014. Please use National Student Clearinghouse data.Students in the fall 2011 IPEDS GRS cohort who received degrees or certificates and thentransferred to four-year institutions should be included in degree or certificate completition ANDtrasfer number. Only those students who transferred but did not receive degrees or certificatesshould be included in “Number Transferred.”Number Completed Degree orCertificate AND Transferred: . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate AND transferred to public and private four-year institutions before fall 2014. Pleaseuse National Student Clearinghouse data. Students in the fall 2011 IPEDS GRS cohort whoreceived degrees or certificates and then transferred to four-year institutions should be reportedhere.7

Full-time, first-time in fall 2008Unduplicated Headcount: . . . . . . . . . . . . . . . . . .Enter unduplicated credit headcount of first-time, full-time degree- and certificate-seekingstudents in the fall 2008 IPEDS GRS cohort. Degree and certificate should be as defined by thereporting institution for credit student work.Number Completed Degree or Certificate: . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate before fall 2014. Students in the fall 2008 IPEDS GRS cohort who received degrees orcertificates. Do not include those that completed a degree or certificate and transferred to publicand private four-year institutions. Only those students who received degrees or certificates butdid not transfer should be included in “Number Completed Degree or Certificate”.Number Transferred: . . . . . . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who transferred to public andprivate four-year institutions before fall 2014. Please use National Student Clearinghouse data.Students in the fall 2008 IPEDS GRS cohort who received degrees or certificates and thentransferred to four-year institutions should be included in degree or certificate completition ANDtransfer number. Only those students who transferred but did not receive degrees or certificatesshould be included in “Number Transferred.”Number Completed Degree orCertificate AND Transferred: . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate AND transferred to public and private four-year institutions before fall 2014. Pleaseuse National Student Clearinghouse data. Students in the fall 2008 IPEDS GRS cohort whoreceived degrees or certificates and then transferred to four-year institutions should be reportedhere.8

Part-time, first-time in fall 2008Unduplicated Headcount: . . . . . . . . . . . . . . . . . .Enter unduplicated credit headcount of first-time, part-time degree- and certificate-seekingstudents in the fall 2008 IPEDS GRS cohort. Degree and Certificate should be as defined by thereporting institution for credit student work.Number Completed Degree or Certificate: . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate before fall 2014. Students in the fall 2008 IPEDS GRS cohort who received degrees orcertificates. Do not include those that completed a degree or certificate and transferred to publicand private four-year institutions. Only those students who received degrees or certificates butdid not transfer should be included in “Number Completed Degree or Certificate”.Number Transferred: . . . . . . . . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who transferred to public andprivate four-year institutions before fall 2014. Please use National Student Clearinghouse data.Students in the fall 2008 IPEDS GRS cohort who received degrees or certificates and thentransferred to four-year institutions should be included in degree or certificate competition ANDtransfer number. Only those students who transferred but did not receive degrees or certificatesshould be included in “Number Transferred.”Number Completed Degreeor Certificate AND Transferred: . . . . . . . . . . . . . .Enter the number of students from “Unduplicated Headcount” who completed a degree orcertificate AND transferred to public and private four-year institutions before fall 2014. Pleaseuse National Student Clearinghouse data. Students in the fall 2008 IPEDS GRS cohort whoreceived degrees or certificates and then transferred to four-year institutions should be reportedhere.9

Form 3 Student Performanceat Transfer InstitutionsTransferred from the Reporting InstitutionTotal Students Who Transferredto a Four-Year Institution: . . . . . . . . . . . . . . . . . .Enter the total number of students with 12 or more earned credit hours from the reportinginstitution who transferred to public and private four-year institutions during the most recentacademic year for which National Student Clearinghouse data are available (the data should beless than five years old).Total Students Who Transferredto Another Two-Year Institution: . . . . . . . . . . . . .Enter the total number of students with 12 or more earned credit hours from the reportinginstitution who transferred to public and private two-year institutions during the most recentacademic year for which National Student Clearinghouse data are available (the data should beless than five years old).At Four-year Transfer InstitutionsCumulative First-year GPA: . . . . . . . . . . . . . . . . .Enter the cumulative first-year grade-point average (GPA) at all public and private four-yeartransfer institutions for all students in Row 1 (Total Students Who Transferred). GPA shouldbe on a 4-point scale (A 4, B 3, C 2, P 2, D 1, F 0).Total First-year Credit Hours: . . . . . . . . . . . . . . .Enter the total credit hours completed (grades A through F) during the first year at all publicand private four-year transfer institutions by all students in Row 1 (Total Students WhoTransferred).Percent Enrolled Next Year: . . . . . . . . . . . . . . . .%Enter the percent of students in Row 1 (Total Students Who Transferred) that enrolled at thesame public and private four-year transfer institutions for the next academic year.10

Form 4 Credit Student EnrollmentFall 2013 TermCredit Students at End of Fall 2013 Term: . . . . . .Enter the unduplicated number of total full- and part-time credit students (including thosewho withdrew from all courses) at the end of the fall 2013 term. Do not include high schoolstudents.Next TermFall 2013 Credit StudentsWho Graduated before Spring 2014: . . . . . . . . . .Enter the total number of credit students from fall 2013 who graduated or completed certificatesbefore the spring 2014 term.Fall 2013 Credit StudentsWho Enrolled in Spring 2014: . . . . . . . . . . . . . . .Next FallFall 2013 Credit StudentsWho Graduated before Fall 2014: . . . . . . . . . . . .Enter the total number of credit students from fall 2013 who graduated or completedcertificates before the fall 2014 term. The number should include graduates and completersfrom spring 2014.Fall 2013 Credit StudentsWho Enrolled in Fall 2014: . . . . . . . . . . . . . . . . .Enter the total number of credit students from fall 2013 who enrolled in the fall 2014 term.Do not include students who graduated before fall 2014.11

Form 5 Student Satisfactionand EngagementStudent satisfaction and engagement data should be the most recentavailable and less than five years old.Noel-Levitz Summary Items96. So far, how has your collegeexperience met your expectations?: . . . . . . . .97. Rate your overall satisfactionwith your experience here thus far.: . . . . . . . .98. All in all, if you had it to do over again,would you enroll here?: . . . . . . . . . . . . . . . .Noel-Levitz Scale ItemsEnter satisfaction means, not importance means or performance gaps.Academic Advising / Counseling: . . . . . . . . . . . . .Academic Services: . . . . . . . . . . . . . . . . . . . . . .Admissions and Financial Aid: . . . . . . . . . . . . . .Campus Climate: . . . . . . . . . . . . . . . . . . . . . . . .Campus Support Services: . . . . . . . . . . . . . . . . .Concern for the Individual: . . . . . . . . . . . . . . . . .Instructional Effectiveness: . . . . . . . . . . . . . . . . .Registration Effectiveness: . . . . . . . . . . . . . . . . .Responsiveness to Diverse Populations: . . . . . . .Safety and Security: . . . . . . . . . . . . . . . . . . . . .Service Excellence: . . . . . . . . . . . . . . . . . . . . . .Student Centeredness: . . . . . . . . . . . . . . . . . . . .CCSSE Summary BenchmarksCCSSE summary benchmark means are available in the Members Only section at the CCSSEwebsite.Active and Collaborative Learning: . . . . . . . . . . .Student Effort: . . . . . . . . . . . . . . . . . . . . . . . . . .Academic Challenge: . . . . . . . . . . . . . . . . . . . . .Student-Faculty Interaction: . . . . . . . . . . . . . . . .12Support for Learners: . . . . . . . . . . . . . . . . . . . . .

ACT Student Opinion SurveyIf you would start college over,would you choose to attend this college?: . . . . . . .What is your overall impression of thequality of education at this 2-year college?: . . . . .Form 6 Student Goal AttainmentUse most recent data (less than five years old) and institutional definitionof educational objective achievement.Did you achieve your educational objective?Enter the percent of graduates/program completers that indicated they hadachieved their educational objective either partially or fully. Data source willmost likely be an exit survey or a follow-up survey administered soon afterstudents leave the institution.Graduates and Completers: . . . . . . . . . . . . . . . .%Percent that achieved objective.Form 7 Credit College-levelRetention, SuccessUse fall 2013 grades.Fall GradesTotal A, B, C, P, D, F, and W Grades: . . . . . . . . . .Enter the total number of A, B, C, P, D, F, and W grades (or their institutional equivalents)in all credit, college-level courses at the end of the fall 2013 term for all students (includehigh school students earning college credits). Include laboratory grades if they are awardedindependently of their associated lecture grade. Do not include incompletes, audits, and gradesin developmental courses.Developmental courses should be reported on FORM 8. If your institution records or - grades,include them in the letter grades with which they are associated (e.g. C grades would bereported with C grades). Map all other grades to their closest equivalent.College-level courses include courses that, if successfully completed, can be applied towardthe number of courses required for achieving a degree or certificate or transferred to anotherinstitution. P grades (or your institution’s equivalent) are awarded when a student takes a classfor a “pass” or “fail” grade. Not all institutions may offer this option.Total A, B, C, P, D, and F Grades: . . . . . . . . . . . .Enter the total number of A, B, C, P, D and F grades (or their institutional equivalents) in credit,college-level courses at the end of the fall 2013 term.Total A, B, C, and P Grades: . . . . . . . . . . . . . . .Enter the total number of A, B, C, and P grades (or their institutional equivalents) in credit,college-level courses at the end of the fall 2013 term.13

Form 8 Credit DevelopmentalRetention, SuccessUse fall 2013 Grades.MathTotal Grades in Developmental/Remedial Courses: . . . . . . . . . . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, F, and W grades (or their institutional equivalents) inMath credit developmental/remedial courses at the end of the fall 2013 term (include highschool students earning college credits). Do not include incompletes, audits, or grades in ESLcourses.Developmental/remedial courses are those defined by the reporting institution. If yourinstitution records or - grades, include them in the letter grades with which they areassociated (e.g. C grades would be reported with C grades).Total A, B, C, P, D and F Grades: . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, and F grades (or their institutional equivalents) in creditdevelopmental/remedial courses at the end of the fall 2013 term.Total A, B, C and P Grades: . . . . . . . . . . . . . . . .Enter the total number of A, B, C, and P grades (or their institutional equivalents) indevelopmental/remedial courses at the end of the fall 2013 term.WritingTotal Grades in Developmental /Remedial Courses: . . . . . . . . . . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, F, and W grades (or their institutional equivalents) incredit developmental/remedial courses at the end of the fall 2013 term (include high schoolstudents earning college credits). Do not include incompletes, audits, or grades in ESL courses.Developmental/remedial courses are those defined by the reporting institution. Reading andWriting includes courses in which both reading and writing instruction are included in the samecourse. Courses reported under “Reading / Writing” should not be included under Writing” and‘Reading”.If your institution records or - grades, include them in the letter grades with which they areassociated (e.g. C grades would be reported with C grades).Total A, B, C, P, D and F Grades: . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, and F grades (or their institutional equivalents) in creditdevelopmental/remedial courses at the end of the fall 2013 term.Total A, B, C and P Grades: . . . . . . . . . . . . . . . .Enter the total number of A, B, C, and P grades (or their institutional equivalents) indevelopmental/remedial courses at the end of the fall 2013 term.14

Reading / WritingTotal Grades in Developmental /Remedial Courses: . . . . . . . . . . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, F, and W grades (or their institutional equivalents) incredit developmental/remedial courses at the end of the fall 2013 term (include high schoolstudents earning college credits). Do not include incompletes, audits, or grades in ESL courses.Developmental/remedial courses are those defined by the reporting institution. Reading andWriting includes courses in which both reading and writing instruction are included in the samecourse. Courses reported under “Reading / Writing” should not be included under “Writing” and“Reading”.If your institution records or - grades, include them in the letter grades with which they areassociated (e.g. C grades would be reported with C grades).Total A, B, C, P, D and F Grades: . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, and F grades (or their institutional equivalents) in creditdevelopmental/remedial courses at the end of the fall 2013 term.Total A, B, C and P Grades: . . . . . . . . . . . . . . . .Enter the total number of A, B, C, and P grades (or their institutional equivalents) indevelopmental/remedial courses at the end of the fall 2013 term.ReadingTotal Grades in Developmental /Remedial Courses: . . . . . . . . . . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, F, and W grades (or their institutional equivalents) incredit developmental/remedial courses at the end of the fall 2013 term (include high schoolstudents earning college credits). Do not include incompletes, audits, or grades in ESL courses.Developmental/remedial courses are those defined by the reporting institution. Reading andWriting includes courses in which both reading and writing instruction are included in the samecourse. Courses reported under “Reading / Writing” should not be included under “Writing” and“Reading”.If your institution records or - grades, include them in the letter grades with which they areassociated (e.g. C grades would be reported with C grades).Total A, B, C, P, D and F Grades: . . . . . . . . . . . . .Enter the total number of A, B, C, P, D, and F grades (or their institutional equivalents) in creditdevelopmental/remedial courses at the end of the fall 2013 term.Total A, B, C and P Grades: . . . . . . . . . . . . . . . .Enter the total number of A, B, C, and P grades (or their institutional equivalents) indevelopmental/remedial courses at the end of the fall 2013 term.15

Form 9 Credit DevelopmentalRetention, Success, First College-levelUse fall 2012 cohort.MathTotal A, B, C and P Grades in Fall 2012,Highest-level Developmental Courses: . . . . . . . . .Enter the total number of students who received A, B, C, and P grades (or their institutionalequivalents) in the highest-level, credit developmental/remedial math courses at the end of thefall 2012 term. Developmental/remedial courses are those defined by the reporting institution.Entries should include students who succeeded in developmental math courses.

National Community College Benchmark Project NCC BP Benchmark Project BP NCC National Community College Benchmark Project NCC BP NCCBP Workbook. Form 1 Subscriber Information Fields with an asterisk (*) are required. Please note that this form will not

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