Form ETA 9157 ETA 9157 ETJD Quarterly Progress Report

ETA-9157 STANDARDIZED QUARTERLY PERFORMANCE REPORT

ENHANCED TRANSITIONAL JOBS DEMONSTRATION (ETJD) GRANT

Report Due Date: mm/dd/yyyy

OMB No.

1205-XXXX

Expires:

A. GRANTEE IDENTIFYING INFORMATION

Grantee Name:

Grant Number:

Program/Project Name:

Project or Sub-Project ID/Number:

Report Quarter End Date:

City ________________________________

State ______

Zip Code __________

Enrollment Goal:

Performance Items

Previous Quarter (A)

Current Quarter (B)

Cumulative for Program Year (C)

Program-to-Date (D)

B. PARTICIPANT SUMMARY INFORMATION

1. Total Exiters

2. Total Participants Served

3. New Participants Served

Gender

4a. Male

4b Female

Ethnicity / Race

5a. Hispanic/Latino

5b. American Indian or Alaska Native

5c. Asian

5d Black or African American

5e. Hawaiian Native or Other Pacific Islander

5f. White

Education Level

6a. 8th grade and under

6b. 9th grade - 12th grade

6c. High School graduate or equivalent

6d. One - three years of college, or full-time technical or vocational school

6e. Four years college or more

Age

7a. 18 - 24

7b. 25 - 34

7c. 35 - 44

7d. 45 - 54

7e. 55 or older

8. Eligible Veterans

9. Limited English Proficient

10. Persons with a Disability

C. Additional Participant Information to Be Collected at Enrollment

Child Custody

1a. Number of participants with active child support cases

1b. Number of participants with dependent children

1c. Number of participants with more than one active child support case

2. History of Alcohol Abuse/Drug Use

3. Average Number of Days Since Release

4. Average Number of Years Incarcerated

Post-Release Status

5a. Number of participants on parole

5b. Number of participants on probation

5c. Number of participants on other post-release supervision

Type of Crime

6a. Property Crimes

6b. Drug Crimes

6c. Public Order Offenses

6d. Other Offenses

Performance Items

Previous Quarter (A)

Current Quarter (B)

Cumulative for Program Year (C)

Program-to-Date (D)

Value

Numerator

Value

Numerator

Value

Numerator

Value

Numerator

Denominator

Denominator

Denominator

Denominator

D. PROGRAM SERVICES, ACTIVITIES, AND OTHER RELATED ASSISTANCE

1. Received Education or Job Training Activities

2. Received Workforce Preparation Activities

3. Community Involvement Activities

4. Received Mentoring Activities

5. Received Subsidized Employment

6. Received Supportive Services

7. Overall Participation Rate (participating in at least one activity from 1 through 5. Does not include supportive services.)

Performance Items

Previous Quarter (A)

Current Quarter (B)

Cumulative for Program Year (C)

Program-to-Date (D)

Value

Numerator

Value

Numerator

Value

Numerator

Value

Numerator

Denominator

Denominator

Denominator

Denominator

E. SHORT-TERM INDICATORS OF PERFORMANCE

Leading Indicators of Performance

1. Enrollment Rate

2a. Number of Initial Unsubsidized Job Placements

2b. Average Hourly Wage Rate at Placement

2c. Number of Unsubsidized Job Re-Placements

2d. Average Hours Worked 1st Week of Placement

3. Number Obtained High School Diploma or GED

4. Number Obtained a Certificate

5. Entered Post Secondary Education

6. Entered Vocational/Occupational Skills Training

7. Percent of Non-Custodial Parent Participants with Child Support Payment in the Quarter

9a. Number of Re-arrests for a New Crime

9b. Number of Re-Incarcerations for Revocation

F. LONG-TERM INDICATORS OF PERFORMANCE

Common Performance Measures

1. Entered Employment Rate

2. Employment Retention (includes all participants who entered employment, regardless of follow-up)

3. Attainment of a Degree or Certificate

4. Average 6 Months Post-Program Earnings (includes only those who have been successfully contacted during follow-up)

Additional Performance Measures

5. Recidivism Rate

6. Percent of Non-Custodial Parent Participants Paying Child Support in the First Three Quarters After Exit Quarter

G. REPORT CERTIFICATION/ADDITIONAL COMMENTS

Grantee Remarks:

Name of Grantee Certifying Official:

Telephone Number:

E-mail:

This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 1205-XXXX. Persons are not required to respond to this collection of information unless it displays a currently valid OMB number. Public reporting burden for this collection of information is estimated to average 20 hours per quarterly report per grantee, including time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of information. Respondent’s obligation to reply is required to obtain or maintain benefits. The reasons for the collection of information are general program oversight, evaluation, and performance assessment. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to the U. S. Department of Labor, Employment and Training Administration, Division of Youth Services, Room N4511, 200 Constitution Avenue, NW, Washington, D.C. 20210 (Paperwork Reduction Project 1205-XXXX).