TAACCCT Quarterly and Annual Reporting Round One

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Form ETA-9160
ANNUAL PERFORMANCE REPORT - Table 1
TAA COMMUNITY COLLEGE and CAREER TRAINING GRANTS
OMB No. 1205-0xxx
Expires: xx/xxxx

A. GRANTEE IDENTIFYING INFORMATION
1. Grantee Name:

2. Grant Number:

3. Program/Project Name:
4. Grantee Address:

5. Report Year End Date:

City ____________________________________________________________________________________ State ______

Performance Items

Year 1
(A)

(REPORT IF AVAILABLE)

Zip Code __________
Year 2
(B)

6. Report Due Date:
Year 3
(C)

B. CUMULATIVE PARTICIPANT OUTCOMES (ALL GRANT PARTICIPANTS)
1. Unique Participants Served/Enrollees
2. Total Number of Participants Who Have Completed a Grant-Funded Programs of Study
2a. Total Number of Grant-Funded Program of Study Completers Who Are Incumbent Workers
3. Total Number Still Retained in Their Programs of Study (or Other Grant-Funded Programs)
4. Total Number Retained in Other Education Program(s)
5. Total Number of Credit Hours Completed (aggregate across all enrollees)
5a. Total Number of Students Completing Credit Hours

6. Total Number of Earned Credentials (aggregate across all enrollees)
6a. Total Number of Students Earning Certificates - Less Than One Year (aggregate across all
enrollees)
6b. Total Number of Students Earning Certificates - More Than One Year (aggregate across all
enrollees)
6c. Total Number of Students Earning Degrees (aggregate across all enrollees)
7. Total Number Pursuing Further Education After Program of Study Completion
8. Total Number Employed After Program of Study Completion
9. Total Number Retained in Employment After Program of Study Completion
10. Total Number of Those Employed at Enrollment Who Receive a Wage Increase Post-Enrollment

Gender

C. CUMULATIVE PARTICIPANT SUMMARY INFORMATION (ALL GRANT PARTICIPANTS)
1a. Male
1b. Female
2a. Hispanic/Latino
Ethnicity / Race

2b. American Indian or Alaskan Native
2c. Asian
2d. Black or African American
2e. Native Hawaiian or Other Pacific Islander
2f. White

Degree

2g. More Than One Race
3a. Full-time Status
3b. Part-time Status

Other Demographics

4. Incumbent Workers
5. Eligible Veterans
6. Participant Age (Mean)
7. Persons with a Disability
8. Pell-Grant Eligible
9. TAA Eligible
10. Other Demographic Measure (Optional - Entered by Applicant)

D. ACHIEVEMENTS AND SUCCESSES
1. Summarize your most innovative achievement or your greatest success story from the previous year.
Please limit your response to 700 characters.

E. IMPLEMENTATION AND EVALUATION OF EVIDENCE-BASED OR TECHNOLOGY-ENABLED STRATEGIES
(for grantees who received funding that exceeded the award ceiling only)
1. As appropriate based on your statement of work, how you have replicated strategies based on strong to moderate evidence at multiple sites , OR how you have taken online and
technology-enabled courses and learning projects to scale beyond the community level to reach significant numbers of diverse students over a large geographic area, as identified in
your application.
Please limit your response to 700 characters.

2. As appropriate based on your statement of work, describe any efforts you are undertaking to conduct a rigorous evaluation to identify the impact of project strategies on
employment and educational outcomes, OR how you are enabling the wide-spread use of program materials and how the program is improving learning outcomes. Grantees are
encouraged to work with third party evaluation experts to conduct such evaluations.
Please limit your response to 700 characters.

F. SERVICES and OUTCOMES for TAA ELIGIBLE INDIVIDUALS
1. Provide a description of how the program(s) have served TAA eligible individuals. Specifically, address: 1) the number of TAA Eligible individuals who participated in TAACCCT
funded programs, 2) how many TAA Eligible individuals enrolled and obtained credentials, certificates or degrees, 3) how many TAA Eligible Individuals enrolled and did not attain
credentials, certificates or degrees, and 4) the average duration and whether the duration of education and training was longer or shorter for these individuals than for other non-TAA
eligible participants. You may use observations or participant records to compile and summarize this information.

Please limit your response to 700 characters.

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CONTINUED IN TABLE 2

Page 2 of 4

Form ETA-9160
ANNUAL COHORT PERFORMANCE REPORT - Table 2
TAA COMMUNITY COLLEGE and CAREER TRAINING GRANTS
OMB No.

1205-0xxx

Expires: xx/xxxx

Year 1
(A)

Year 2
(B)

Year 3
(C)

Performance Items
Program
Participants

Comparison
Cohort

Program
Participants

Comparison
Cohort

1b. Number of Students with Demonstrated Skills Gains Toward a
Certificate/Degree
1c. Number of Students with Success in Credit-Bearing Courses

Pilot year - test
methodology in
this column and
report in
aggregate

1a. Number of Students Enrolled with a Basic Skills Deficiency

Methodology year
(report only as
applicable)

A. ACCELERATION OF PROGRESS FOR LOW-SKILLED AND OTHER WORKERS (Report only as applicable)

B. STUDENT PROGRESS BY PROGRAM (PARTICIPANT AND COMPARISON COHORTS ONLY): PROGRAM OF STUDY 1
1. Program:

2. Colleges offering the program (for consortia only):

4. Cohort Start Date(s):

6. Total Number of Students Completing This Program
6a. Total Number of Completers in This Program Who Are Incumbent Workers
7. Total Number of Students Retained in This Program
8. Total Number of Students Retained in Other Education Program(s)
9. Total Number of Program Credit Hours Completed by Students
9a. Total Number of Students Completing Credit Hours in This Program
10. Total Number of Earned Credentials in This Program
10a. Total Number of Students Earning Certificates in This Program - Less
Than One Year
10b. Total Number of Students Earning Certificates in This Program - More
Than One Year

Methodology year (report only as applicable)

5. Total Number of Students in Cohort (new students enrolled in program of study
at cohort start date)

10c. Total Number of Students Earning Degrees
11. Total Number Pursuing Further Education After Program of Study Completion

Pilot year - test methodology and report in this column for Program 1

3. Typical/Expected Length of Program:

12. Number of Non-Hispanic White Graduates Employed After Program
Completion
13. Number of Non-White (Hispanic or Non-Hispanic) Graduates Employed After
Program Completion
14. Entered Employment Rate for All Graduates for This Program
15. Number of Graduates Retained in Employment
16. Employment Retention Rate for This Program
17. Average Program Graduate Six-Month Earnings (gross)

1a. Male
1b. Female
2a. Hispanic/Latino

2c. Asian
2d. Black or African American
2e. Native Hawaiian or Other Pacific Islander
2f. White

Degree

2g. More Than One Race
3a. Full-time Status
3b. Part-time Status

Methodology year (report only as applicable)

Ethnicity / Race

2b. American Indian or Alaskan Native

Pilot year - test methodology and report aggregate across programs in this
column

Gender

C. SUMMARY STUDENT INFORMATION (PARTICIPANT AND COMPARISON COHORTS ONLY) - PROGRAM OF STUDY 1

Program
Participants

Comparison Cohort

6. Participant Age (mean)
7. Persons with a Disability
8. Pell-grant eligible
9. TAA-eligible
10. Other Demographic Measure (Optional - Entered by Applicant)

Pilot year - test methodology and report aggregat
column

5. Eligible Veterans

Methodology year (report only as

Other Demographics

4. Incumbent Workers

D. COMPARISON COHORT DESCRIPTION FOR PROGRAM OF STUDY 1
1. For Year 1, describe how the comparison cohort was identified, selected, and how it will be tracked during years two and three of the grant. If the comparison
cohort is selected from a recent sample of students, describe the process for making this decision and the process that followed for selection. Address how
the requirements for matching age and gender were met. Grantees should also describe the process for deciding how to group the programs of study, and
provide the final program groupings that will be tracked. For Years 2 and 3, continue to report on the progress of tracking the participant and comparison
cohorts through these programs, including any challenges or issues that have emerged due to cohort identification and selection.

Please limit your response to 700 characters.

E. REPORT CERTIFICATION/ADDITIONAL COMMENTS
1. Report Comments/Narrative:

Attach a separate
document
thatTraining
providesGrants:
a discussion
of the
grant narrative
items
outlined
in the reporting instructions found under Section X.X in "TAA
Community
College
and Career
General
Quarterly
Reporting
Forms
and Instructions."
.
2. Name of Grantee Certifying Official/Title:

3. Telephone Number:

4. Email Address:

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