Form ETA 9157 ETA 9157 ETJD Quarterly Progress Report

Enhanced Transitional Jobs Demonstration

ETJD QPR.xls

quarterly reports: faith based and community grantees

OMB: 1205-0485

Document [xlsx]
Download: xlsx | pdf
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).





















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