Global Edits
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Duplicate Detection
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A. If multiple records
have the same birth date and name (Fields 1 and 2), then no
record can have a Field 46 (Date of Participation) or a Field 47
(Date or Exit) between the Date of Program Participation and the
Date of Exit plus 90 days of any other record with the same
Individual Identifier.
B. If multiple records have the
same Individual Identifier, then only the record with the most
recent Date of Participation can have a blank Date of Exit.
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Age
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A. Must be greater than
or equal to 18 and less than or equal to 100 years old at Date of
Participation. Age = DATE OF PARTICIPATION minus DATE OF BIRTH
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SECTION I - INDIVIDUAL
INFORMATION
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SECTION I.A -
IDENTIFYING AND DEMOGRAPHIC INFORMATION
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1
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Date of Birth
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Record the individual's
date of birth.
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MM/DD/YYYY
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2
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Name
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Record the individual’s
first name, last name, and middle initial (optional).
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Text Box
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Middle Initial Field
should be optional. First and last name are required. Mark
these with a red asterisk.
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3
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Eligibility Type
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Indicate the eligibility
type by selecting Ex-Offender or Non-Custodial Parent.
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1 = Ex-Offender
2
= Non-Custodial Parent
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Field is required, but may
select more than one option.
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4
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Gender
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Indicate the participant's
gender by selecting Male or Female.
Leave
blank if the individual does not wish to disclose his/her gender.
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1 = Male
2 =
Female
Blank = no self-disclosure
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5
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Ethnicity Hispanic/ Latino
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Indicate the participant's
ethnicity by selecting yes or no.
Leave
blank if the participant does not disclose his/her ethnicity.
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1 = Yes
2 = No
Blank
= no self-disclosure
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6
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American Indian or Alaska
Native
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Select yes if the
participant is American Indian or Alaska Native.
Leave
blank if the participant is not American Indian or Alaska Native
or refused to report on this element.
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1 = Yes
Blank = not
reported
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7
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Asian
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Select yes if the
participant is Asian.
Leave
blank if the participant is not Asian or refused to report on
this element.
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1 = Yes
Blank = not
reported
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8
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Black or African American
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Select yes if the
participant is Black or African American.
Leave
blank if the participant is not Black or African American or
refused to report on this element.
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1 = Yes
Blank = not
reported
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9
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Hawaiian Native or other
Pacific Islander
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Select yes if the
participant is a Hawaiian Native or other Pacific Islander.
Leave
blank if the participant is not a Hawaiian Native or other
Pacific Islander or refused to report on this element.
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1 = Yes
Blank = not
reported
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10
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White
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Select yes if the
participant is White.
Leave
blank if the participant is not White or refused to report on
this element.
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1 = Yes
Blank = not
reported
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SECTION I.B -
ENROLLMENT INFORMATION
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11
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Primary Language
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Specify language spoken
most often.
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1 = English
2
= Spanish
3
= Other
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If other, grantee must
specify language in text box
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12
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Marital status
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Enter the participant’s
marital status at time of enrollment.
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1 = Married
2 =
Single
3 = Divorced
4 = Widowed
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13
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Lives with Participant
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Indicate the living
situation from the dropdown menu, selecting all that apply.
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1 = Alone
2
= Wife
3
= Girlfriend
4
= Parent/Stepparent
5
= Friend(s)
6
= Grandparent
7
= Own Child(ren)
8
= Other Child(ren)
9
= Sister/Brother
10
= Other Relative
11=
Other Non-Relative
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Grantee must have ability
to select multiple categories from dropdown menu
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16
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Highest School Grade
Completed
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Use the appropriate code
to record the highest school grade completed by the individual.
Record 87 if the individual completed the 12th
grade and attained a high school diploma.
Record
88 if the individual completed the 12th grade and attained a
GED or equivalent.
Record
89 if the individual with a disability received a certificate
of attendance/completion.
Record
90 if the individual attained other post-secondary degree or
certification.
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00 = No school grades
completed
01 - 12 = Number of elementary/secondary school
grades completed
13-15 = Number of college, or full-time
technical or vocational school years completed
16 =
Bachelor's degree or equivalent
17 = Education beyond the
Bachelor's degree
87 = Attained High School Diploma
88
= Attained GED or Equivalent
89 = Attained Certificate of
Attendance/Completion
90 = Attained Other Post-Secondary
degree or Certificate
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17
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Occupational Training
Certification
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Select yes or no
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1 = Yes
2
= No
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If yes, a text box is
required, describing the certificate(s) attained
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18
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Eligible Veteran Status
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Select yes, <= 180
days if the individual is a person who served in the active
U.S. military, naval, or air service for a period of less than or
equal to 180 days, and who was discharged or released from such
service under conditions other than dishonorable.
Select
yes, eligible veteran if the individual served on active
duty for a period of more than 180 days and was discharged or
released with other than a dishonorable discharge; or was
discharged or released because of a service connected disability;
or as a member of a reserve component under an order to
active duty pursuant to section 167 (a), (d), or, (g), 673 (a) of
Title 10, U.S.C., served on active duty during a period of war or
in a campaign or expedition for which a campaign badge is
authorized and was discharged or released from such duty with
other than a dishonorable discharge.
Select
yes, other eligible person if the individual is a person
who is (a) the spouse of any person who died on active duty or of
a service-connected disability, (b) the spouse of any member of
the Armed Forces serving on active duty who at the time of
application for assistance under this part, is listed, pursuant
to 38 U.S.C 101 and the regulations issued thereunder, by the
Secretary concerned, in one or more of the following categories
and has been so listed for more than 90 days: (i) missing in
action; (ii) captured in the line of duty by a hostile force; or
(iii) forcibly detained or interned in the line of duty by a
foreign government or power; or (c) the spouse of any person who
has a total disability permanent in nature resulting from a
service-connected disability or the spouse of a veteran who died
while a disability so evaluated was in existence.
Select
no if the individual does not meet any one of the
conditions described above.
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1 = Yes, <= 180 days
2
= Yes, Eligible Veteran
3
= Yes, Other Eligible Person
4
= No
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19
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Limited English Proficient
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Select yes if the
individual is a person who has limited ability in speaking,
reading, writing or understanding the English language and: (a)
whose native language is a language other than English, or (b)
who lives in a family or community environment where a language
other than English is the dominant language.
Select
no if the individual does not meet the conditions described
above.
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1 = Yes
2 = No
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20
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Individual with a
Disability
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Select yes if the
individual indicates that he/she has any "disability,"
as defined in Section 3(2)(a) of the Americans with Disabilities
Act of 1990 (42 U.S.C. 12102). Under that definition, a
"disability" is a physical or mental impairment that
substantially limits one or more of the person's major life
activities. (For definitions and examples of "physical or
mental impairment" and "major life activities,"
see paragraphs (1) and (2) of the definition of the term
"disability" in 29 CFR 37.4, the definition section of
the WIA non-discrimination regulations.)
Select
no if the individual indicates that he/she does not have a
disability that meets the definition.
Leave
blank if the individual does not wish to self-identify.
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1 = Yes
2 = No
Blank
= no self-identification
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21
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Employment History
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Select yes or no
as to whether participant has ever been employed.
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1 = Yes
2
= No
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22
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Employment Retention
History
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Select yes or no
as to whether participant has ever worked for the same employer
for six months or more.
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1 = Yes
2
= No
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23
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Employment Status at
Intake
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Record Employed if
the participant is a person who either: (a) did any work at all
as a paid employee, (b) did any work at all in his or her own
business, profession, or farm, (c) worked 15 hours or more as an
unpaid worker in an enterprise operated by a member of the
family, or (d) is one who was not working, but has a job or
business from which he or she was temporarily absent because of
illness, bad weather, vacation, labor-management dispute, or
personal reasons, whether or not paid by the employer for
time-off, and whether or not seeking another job.
Record
Employed, but Received Notice of Termination of Employment or
Military Separation if the participant is a person who,
although employed, either: (a) has received a notice of
termination of employment or the employer has issued a Worker
Adjustment and Retraining Notification (WARN) or other notice
that the facility or enterprise will close, or (b) is currently
on active military duty and has been provided with a
firm date of separation from military service.
Record
Not Employed if the individual does not meet any one of
the conditions described above.
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1 = Employed
2 =
Employed, but Received Notice of Termination of Employment or
Military Separation
3 = Not Employed
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A. Must be 1 or 2 if Field
24 (Occupation at Intake) is >0.
B. Must be 1 or 2 if
Field 25 (Hours Worked at Intake) is >0.
C. Must be 1 or
2 if Field 26 (Earnings at Intake) is >0.
D. Must be 1 or
2 if Field 27 (Start Date for Job at Intake) is not blank.
E.
Must be completed within two weeks of opening the record.
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24
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Occupation at Intake
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Record the 8-digit
occupational code that best describes the individual's employment
at enrollment using the O*Net Version 4.0 (or later versions)
classification system.
Leave blank if the participant
is not employed at participation.
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00000000
Blank or
00000000 = unavailable or unknown
(No hyphens or periods)
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25
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Hours Worked at Intake
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Enter the average hours
per week that the participant works at the above occupation.
Leave blank if the participant is not employed at participation.
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00Blank = not employed
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A. Must be greater than 0
if Field 23 (Employment Status at Intake) is 1 or 2.
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26
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Average Hourly Wage at
Intake
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Enter the participant's
average hourly wage at the above occupation.
Leave
blank if the participant is not employed at participation.
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00.00
Blank = not
employed
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A. Must be greater than 0
if Field 23 (Employment Status at Intake) is 1 or 2.
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27
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Start Date for Job at
Intake
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Enter the date on which
the participant began to work at the above job.
Leave
blank if the participant is not employed at participation.
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MM/DD/YYYY
Blank =
not employed
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A. Must not be blank if
Field 23 (Employment Status at Intake) is 1 or 2.
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28
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Housing Status at
Enrollment
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Select Own/Rent
Apartment, Room, or House if, at enrollment, the individual
is living in an apartment, room, or house that he/she owns or
rents.
Select
Staying at someone's apartment, room, or house (Stable)
if, at enrollment, the individual is living in an apartment,
room, or house that somebody else owns or rents and if the person
is not at risk of being displaced from this housing, i.e the
housing situation is long-term.
Select
Halfway house/transitional house if, at enrollment, the
individual is living in a residence designed to assist persons as
they re-enter society and learn to adapt to independent living
after having been in prison.
Select
Residential treatment if, at enrollment, the individual
lives in a residential treatment center. A residential treatment
center is a group home that provides room and board, and provides
specialized treatment or rehabilitation persons with emotional,
psychological, or developmental problems as well as chemical
dependencies.
Select
Homeless if, at enrollment, the individual lacks a fixed,
regular, adequate night time residence. This definition includes
any individual who has a primary night time residence that is a
publicly or privately operated shelter for temporary
accommodation; an institution providing temporary residence for
individuals intended to be institutionalized; or a public or
private place not designated for or ordinarily used as a regular
sleeping accommodation for human beings. This definition does
not include an individual imprisoned or detained under an Act of
Congress or state law. An individual who may be sleeping in a
temporary accommodation while away from home should not, as a
result of that alone, be recorded as homeless.
Select
Staying at someone's apartment, room, or house (Unstable)
if, at enrollment, the individual is living in an apartment,
room, or house that somebody else owns or rents and if the person
is at risk of being displaced from this housing, i.e. the housing
situation is short-term.
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1 = Own/rent apartment,
room, or house
2
= Staying at someone's apartment, room, or house (Stable)
3
= Halfway house/ transitional house
4
= Residential treatment
5
= Homeless
6
= Staying at someone's apartment, room, or house (Unstable)
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A. Must be completed
within two weeks of opening the record.
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29
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Alcohol Abuse/ Drug Use at
Intake
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Select prior to
incarceration if the individual used illegal drugs or abused
legal drugs or alcohol within 3 months prior to incarceration.
Select
prior to enrollment if the individual used illegal drugs or
abused legal drugs or alcohol 3 months prior to
enrollment.
Select both if the individual used illegal drugs
or abused legal drugs or alcohol within 3 months prior to
incarceration and 3 months prior to enrollment.
Select
no if the individual did not use illegal drugs or abuse
alcohol 3 months prior to incarceration or 3 month prior to
enrollment.
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1 = Prior to enrollment
2
= No
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A. Must be completed
within two weeks of opening the record.
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30
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Alcohol Abuse/Drug Abuse
Treatment at Intake
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Select yes or no
as to whether participant is in substance abuse treatment at
intake.
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1 = Yes
2
= No
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If participant answers
yes, select yes or no as to whether treatment is court-mandated
or a requirement of probation/parole based on participant’s
answer to first question.
1
= Yes
2
= No
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31
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Family Support
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Select any of the
categories that apply in terms of the participant’s
response to area where family are able to assist.
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1 = Place to Live
2
= Job
3
= Substance Abuse Treatment
4
= Transportation
5
= Financial Support
6
= None
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32
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Public Assistance at
Enrollment
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Indicate the following
sources of other public assistance that the recipient was
receiving at enrollment.
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1 = Social Security
Insurance (SSI) or Social Security Disability (SSD)
2 =
Temporary Assistance for Needy Families (TANF)
3 = Welfare
for single adults or general assistance (GA)
4 =
Unemployment insurance
5 = Food stamps
6 = Division of
AIDS Services Income Support (DAS)
7 = Other government
sources
8 = No Benefits
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33
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Referral Source
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Enter the name of the
organization or individual who referred the applicant to the ETJD
program.
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Text
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This field is
optional.
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SECTION I.C -
INFORMATION ON INCARCERATION
This information is collected
at enrollment for ex-offender participants only
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34
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Post-Release Status at
Intake
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Select parole if
the participant is on parole on the date of participation.
Select
probation if the participant is on probation on the date
of participation.
Select
other criminal justice/court supervision if the
participant is on post-release supervision other than parole or
probation on the date of participation.
Select
none if the participant is not on any form of post-release
supervision.
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1 = Parole
2 =
Probation
3 = Other Criminal Justice/Court Supervision
4
= None
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35
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Mandated participation
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Select yes if
participation in the ETJD program is mandated by a criminal
justice agency or agent
Select no if
participation in the ETJD program is not mandated by a criminal
justice agency or agent
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1 = Yes
2 = No
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36
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Criminal Justice System
Identifier
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Enter the individual's
unique criminal justice system identifier that was assigned to
the individual while in most recent incarceration.
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Text
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37
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Type of Criminal Justice
Identifier
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Select the appropriate
type of criminal justice identifier used in Field 36.
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1 = Federal ID
2 =
State CJ record ID
3 = State prison ID
4 = State
parole/ probation agency ID
5 = Local probation agency ID
6
= Local jail ID
7 = Other
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A. Must not be null if
Field 36 (Criminal Justice System Identifier) is not null.
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38
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Specify Other Criminal
Justice Identifier
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Specify the type of
criminal justice identifier if other was selected in Field 37.
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Text
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A. Must not be blank if
Field 37 (Type of Criminal Justice Identifier) is 7.
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39
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Employment Status at
Incarceration
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Prior to the most recent
incarceration, indicate whether the individual was employed
within two weeks of arrest.
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1 = Employed full-time
2
= Employed part-time
3 = Not employed
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40
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Date of Incarceration for
Most Recent Crime Prior to Participation
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Enter the date on which
the participant was incarcerated for the most recent crime
committed prior to participation.
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MM/DD/YYYY
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A. Must be less than Field
41 (Date of Release for Most Recent Crime Prior to
Participation).
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41
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Date of Release for Most
Recent Crime Prior to Participation
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Enter the date on which
the participant was most recently released from prison prior to
participation.
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MM/DD/YYYY
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A. Must be less than Field
62 (Date of Program Participation).
B. Must be
completed within two weeks of opening the record.
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42
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Institution
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Enter the name of the
institution at which the participant was incarcerated most
recently prior to enrollment.
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Text
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43
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Type of Institution
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Select the type of
institution at which the participant was incarcerated most
recently prior to enrollment
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1 = Federal prison
2
= State prison
3 = County/city jail
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44
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Total Time Incarcerated
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Enter the total number of
years and months that the participant has been incarcerated
during his/her lifetime.
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YY/MM
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A. Must be completed
within two weeks of opening the record.
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45
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Property Crime
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Select the appropriate
type(s) of property crime for the participant's most recent
conviction. Property crimes include, but are not limited to,
burglary, larceny, motor vehicle theft, and receiving stolen
property.If a participant was convicted for more than one type of
offense, select all appropriate offenses. Leave blank if the
participant's most recent conviction was not for a property
crime.
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1 = Burglary
2
= Larceny
3
= Motor vehicle theft
4
= Receiving stolen property
5
= Other property crime
Blank
= not a property crime
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A. Must be completed
within two weeks of opening the record.
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46
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Type of Other Property
Crime
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Specify the other property
crime.
Leave blank if the participant’s most
recent conviction did not include other property crimes.
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Text
Blank = did not
include other property crime
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A. Must not be blank if
Field 45 (Property Crime) is 5.
B. Must be completed
within two weeks of opening the record.
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47
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Drug Crime
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Select the appropriate
type(s) of drug crime for the participant's most recent
conviction. Drug crimes include, but are not limited to,
possession of a controlled substance, traffic in a controlled
substance, and possession of drug paraphernalia.
If a
participant was convicted for more than one type of offense,
select all applicable offenses.
Leave blank if the
participant's most recent conviction was not for a drug crime.
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1 = Possession of a
controlled substance
2 = Traffic in a controlled substance
3
= Possession of drug paraphernalia
4 = Other drug
crime
Blank = not a drug crime
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A. Must be completed
within two weeks of opening the record.
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48
|
Type of Other Drug Crime
|
Specify the other drug
crime.
Leave blank if the participant's most recent
conviction did not include other drug crimes.
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Text
Blank = did not
include other drug crime
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A. Must not be blank if
Field 40 (Drug Crimes) is 4.
B. Must be completed
within two weeks of opening the record.
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49
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Public Order Offenses
|
Select the appropriate
type(s) of public order offenses for the participant's most
recent conviction. Public order offenses include, but are not
limited to, commercial vice, gambling, animal cruelty, and
driving while intoxicated.
If a participant was
convicted for more than one type of offense, select all
appropriate offenses.
Leave blank if the participant's
most recent conviction was not for a public order offense.
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1 = Commercial vice
2
= Gambling
3 = Animal cruelty
4 = Driving while
intoxicated
5 = Other public order offense
Blank = not
a public order offense
|
A. Must be completed
within two weeks of opening the record.
|
50
|
Type of Other Public Order
Offenses
|
Specify the other public
order offense. Leave blank if the participant's most recent
conviction did not include other public order offenses.
|
Text
Blank
= did not include other public order offense
|
A. Must not be blank if
Field 49 (Public Order Offenses) is 5.
B.
Must be completed within two weeks of opening the record.
|
51
|
Other Offenses
|
Select yes if the
participant's most recent conviction was for any offense not
included in property, drug, or public order offenses.
|
1 = Yes
2 = No
|
A. Must be completed
within two weeks of opening the record.
|
52
|
Type of Other Offenses
|
Specify the other
offenses.
Leave blank if the participant's most recent
conviction did not include other offenses.
|
Text
Blank = did not
include other offenses
|
A. Must not be blank if
Field 51 (Other Offenses) is 1.
B. Must be completed
within two weeks of opening the record.
|
SECTION 1.D.
INFORMATION ON CHILD SUPPORT
This
information is collected at enrollment for both non-custodial
parent and ex-offender participants
|
53
|
Number of Children Under
Age 19
|
Select the appropriate
number from the dropdown box
|
Drop down box containing
numbers from 0 to 10
|
|
54
|
Age of Each Child Under
Age 19
|
Fill in appropriate text
boxes with age of each child.
|
Text
|
Automatically
create number of text boxes that corresponds to number of
children selected in Field 53 (Number of Children Under Age
19)
0 = no text boxes
1 = 1 text box
2 = 2 text boxes
Etc.
|
55
|
Number of Children Under
Age 19 that Live with Participant
|
Select the appropriate
number from the dropdown box
|
Drop down box containing
numbers from 0 to 10
|
|
56
|
Formal Child Support Order
in Place
|
Does the individual have
one or more current child support order(s) in place? This is an
order that was established through the formal child support
system (either a court or a state or county agency).
|
Select Yes or No
|
|
57
|
Number of Child Support
Enforcement Cases
|
Select the appropriate
number from the dropdown box
|
Drop down box containing
numbers from 0 to 10
|
If yes to Field 56 (Formal
Child Support Order in Place), then Field 57 cannot be 0
|
58
|
Number of Children for
Each Child Support Enforcement Case
|
Specify the number of
children for whom the individual is obligated to pay child
support for each case.
|
For Case 1, select number
from drop down; for Case 2, select number, etc.
|
If yes to Field 56 (Formal
Child Support Order in Place), then Field 51 must be filled out.
For
the number selected in Field 57 (Number of Child Support
Enforcement Cases), a separate drop down box should appear until
the total of the number in Field 57
|
59
|
Child Support Case Numbers
|
Specify the case numbers
for each Child Support Enforcement Case
|
Text Boxes up to the total
number selected in Field 57 (Number of Child Support Enforcement
Cases)
|
optional
|
60
|
Order Amount for Each Case
|
Specify the monetary
value of the order amount
Specify the payment
period for collection
Specify
whether payment includes arrearages or only current payment due
|
Text box
Dropdown menu –
1
= weekly
2=
monthly
3
= other
C.
Select Yes or No
|
If
yes to Field 56, this Field must be filled out. Order amount
information fields should be provided up to the maximum number of
child support cases stated in Field 57 (Number of Child Support
Enforcement Cases).
|
61
|
Date of Most Recent
Visitation with Focal Child
|
Specify most recent date
of visit with focal child
|
MM/DD/YYYY
|
|
SECTION
II - PROGRAM ACTIVITIES AND SERVICES INFORMATION
|
|
SECTION II.A - PROGRAM
PARTICIPATION DATA
|
|
62
|
Date of Program
Participation
|
Record the date on which
the individual begins receiving his/her first service funded by
the program following a determination of eligibility to
participate in the program.
This date will be
auto-generated by the system to be the date on which assessment
information is submitted.
|
MM/DD/YYYY
|
A. This date will be
auto-generated by the system to be the date on which assessment
information is submitted.
|
63
|
Date of Exit
|
Record the date on which
the last service funded by the program or a partner program
(excluding supportive services) is received by the participant or
the date of incarceration, whichever occurs first.
Once
a participant has not received any services funded by the program
(excluding supportive services) or a partner program for 90
consecutive calendar days has no planned gap in service, and is
not scheduled for future services, the date of exit is applied
retroactively to the last day on which the individual received a
service funded by the program or a partner program.
|
MM/DD/YYYY
|
A. This date will be
auto-generated by the system to be the date on which the
individual receives his/her last service.
|
64
|
Reason for Leaving Initial
Placement in Unsubsidized Employment
|
Indicate the reason why
the individual left the job of initial placement.
|
1 = Reincarcerated
2
= Quit
3 = Laid off
4 = Fired
5 = Temporary or
seasonal job ended
6 = Other
|
|
65
|
Prerelease Contact
|
Select yes if the
DOL grantee had any contact with the participant prior to
registration in the program.
Select no if the
DOL grantee did not have any contact with the participant prior
to registration in the program.
|
1 = Yes
2 = No
|
|
66
|
Other Reasons for Exit (at
time of exit or during three-quarter measurement period following
the quarter of exit)
|
Select Health/Medical
if the participant is receiving medical treatment that precludes
entry into unsubsidized employment or continued participation in
the program. Does not include temporary conditions expected to
last for less than 90 days.
Select
Deceased if the participant was found to be deceased or no
longer living.
Select
Family Care if the participant is providing care for a
family member that precludes entry into unsubsidized employment
or continued participation in the program. Does not include
temporary conditions expected to last for less than 90 days.
Select
Reservists Called to Active Duty if the participant is a
reservist who is called to active duty for at least 90 days.
Leave
blank if none of the above reasons apply.
|
02 = Health/Medical
03
= Deceased
04
= Family Care
05
= Reservists Called to Active Duty
Blank
= none of the above
|
A. Must be blank if Field
63 (Date of Exit) is blank.
|
SECTION II.B - SERVICES
AND OTHER RELATED ASSISTANCE DATA
|
|
Education or Job
Training Activities
|
|
67
|
Date Entered Math/Reading
Remediation
|
Enter the date on which
the participant started math/reading remediation.
Math/reading remediation consists of classroom
instruction designed to improve a participant’s reading
and/or math skills for those participants who are determined to
be basic literacy skills deficient. Basic education skills
include reading comprehension, math computation, writing,
speaking, listening, problem solving, reasoning, and the capacity
to use these skills.
|
MM/DD/YYYY
|
|
68
|
Expected Completion Date
of Math/Reading Remediation
|
Enter the date on which
the participant is expected to complete math/reading remediation.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 67 (Date Entered Math/Reading
Remediation)
|
69
|
Date of Last Math/Reading
Remediation Services During the Month
|
Enter the last date during
the month in which the participant received math/remediation
services.
Note:
This field must repeat for every month in which the participant
receives math/remediation services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 67 (Date Entered Math/Reading
Remediation)
|
70
|
Date Ended Math/Reading
Remediation
|
Enter the date on which
the participant exited math/reading remediation.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 67 (Date Entered Math/Reading
Remediation).
|
71
|
Completed Math/Reading
Remediation
|
Select yes if the
participant successfully completed math/reading remediation.
Select no if the participant did not
successfully complete math/reading remediation.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 70 (Date Ended Math/Reading Remediation) is a valid date.
|
72
|
Date Entered GED
Preparation
|
Enter the date on which
the participant started GED preparation.
GED
preparation is an activity intended to prepare a participant for
passing the GED examination.
|
MM/DD/YYYY
|
|
73
|
Expected Completion Date
of GED Preparation
|
Enter the date on which
the participant is expected to complete GED preparation.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 72 (Date Entered GED Preparation).
|
74
|
Date of Last GED
Preparation Services During the Month
|
Enter the last date during
the month in which the participant received GED preparation
services.
Note: This field must repeat for every
month in which the participant receives GED preparation services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 72 (Date Entered GED Preparation).
|
75
|
Date Ended GED Preparation
|
Enter the date on which
the participant exits GED preparation.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 72 (Date Entered GED Preparation).
|
76
|
Completed GED Preparation
|
Select yes if the
participant successfully completed GED preparation.
Select
no if the participant did not successfully complete GED
preparation.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 75 (Date Ended GED Preparation) is a valid date.
|
77
|
Date Entered Vocational/
Occupational Skills Training Services
|
Enter the date on which
the participant started vocational/occupational skills training.
Vocational/ occupational skills training is a type
of long-term occupational training consisting of specific
classroom and work-based study in a specific occupation leading
to a degree or certificate.
|
MM/DD/YYYY
|
|
78
|
Expected Completion Date
of Vocational/ Occupational Skills Training Services
|
Enter the date on which
the participant is expected to complete vocational/occupational
skills training.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 77 (Date Entered Vocational/
Occupational Skills Training Services).
|
79
|
Date of Last Vocational/
Occupational Skills Training Services During the Month
|
Enter the last date during
the month in which the participant received
vocational/occupational skills training services.
Note:
This field must repeat for every month in which the participant
receives vocational/occupational skills training services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 77 (Date Entered Vocational/
Occupational Skills Training Services).
|
80
|
Date Ended Vocational/
Occupational Skills Training Services
|
Enter the date on which
the participant exited vocational/occupational skills training.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 77 (Date Entered Vocational/
Occupational Skills Training Services).
|
81
|
Completed Vocational/
Occupational Skills Training Services
|
Select yes if the
participant successfully completed vocational/occupational skills
training.
Select no if the participant did not
successfully complete vocational/ occupational skills training.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 80 (Date Ended Vocational/ Occupational Skills Training
Services) is a valid date.
|
82
|
Expected Duration of
Vocational/ Occupational Skills Training
|
Select the duration of the
vocational/occupational skills training program that the
participant has entered.
|
1 = 5 or fewer hours per
week
2 = 6 to 15 hours per week
3 = 16 to 25 hours per
week
4 = 25 or more hours per week
|
A. Must not be blank if
Field 77 (Date Entered Vocational/ Occupational Skills Training
Services) is a valid date.
|
83
|
Expected Cost of
Vocational/ Occupational Skills Training
|
Enter the expected cost of
the vocational/occupational skills training program that the
participant has entered.
|
0000.00
|
A. Must not be blank if
Field 61 (Date Entered Vocational/ Occupational Skills Training
Services) is a valid date.
|
84
|
Date Entered On- the-Job
Training (OJT)
|
Enter the date on which
the participant started on-the-job training (OJT).
OJT
is training provided by an employer that pays the participant
while the participant is engaged in productive work. The job
provides knowledge or skills essential to the full and adequate
performance of the job, provides reimbursement to the employer of
up to 50% of the wage rate of the participant, and is limited in
duration to a period appropriate to the occupation for which the
participant is being trained.
|
MM/DD/YYYY
|
|
85
|
Expected Completion Date
of On-the-Job Training (OJT)
|
Enter the date on which
the participant is expected to complete on-the-job training
(OJT).
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 84 (Date Entered On-the-Job
Training).
|
86
|
Date of Last On-the-Job
Training (OJT) Services During the Month
|
Enter the last date during
the month in which the participant received on-the-job training
(OJT) services.
Note: This field must repeat for
every month in which the participant receives on-the-job training
(OJT) services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 84 (Date Entered On-the-Job
Training).
|
87
|
Date Ended On-the-Job
Training (OJT)
|
Enter the date on which
the participant exited on-the-job training (OJT).
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 84 (Date Entered On-the-Job
Training).
|
88
|
Completed On-the-Job
Training (OJT)
|
Select yes if the
participant successfully completed OJT.
Select no
if the participant did not successfully complete OJT.
|
1 =Yes
2 = No
|
A. Must not be blank if
Field 87 (Date Ended On-the-Job Training) is a valid date.
|
89
|
Date Entered Other
Education or Job Training Activities
|
Enter the date on which
the participant started other education or job training
activities.
|
MM/DD/YYYY
|
|
90
|
Type of Other Education or
Job Training Activities
|
Specify the type of other
education or job training activities.
|
Text
|
A. Must not be blank if
Field 89 (Date Entered Other Education or Job Training
Activities) is a valid date.
|
91
|
Expected Completion Date
of Other Education or Job Training Activities
|
Enter the date on which
the participant is expected to complete other education or job
training activities.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 89 (Date Entered Other Education or Job Training
Activities) is a valid date.
|
92
|
Date of Last Other
Education or Job Training Activities Services During the Month
|
Enter the last date during
the month in which the participant received other education or
job training activities services.
Note: This field
must repeat for every month in which the participant receives
other education or job training activities services.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 89 (Date Entered Other Education or Job Training
Activities) is a valid date.
|
93
|
Date Ended Other Education
or Job Training Activities
|
Enter the date on which
the participant exits other education or job training activities.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 89 (Date Entered Other Education
or Job Training Activities).
|
94
|
Completed Other Education
or Job Training Activities
|
Select yes if the
participant successfully completed other education or job
training activities.
Select no if the
participant did not successfully complete other education or job
training activities.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 93 (Date Ended Other Education or Job Training Activities)
is a valid date.
|
Workforce Preparation
Activities
|
|
95
|
Date Entered Subsidized
Employment
|
Enter the date on which
the participant started subsidized employment.
|
MM/DD/YYYY
|
|
96
|
Expected Completion Date
of Subsidized Employment
|
Enter the date on which
the participant is expected to complete subsidized employment.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 95 (Date Entered Subsidized
Employment).
|
97
|
Date of Last Subsidized
Employment Services During the Month
|
Enter the last date during
the month in which the participant received subsidized employment
services.
Note: This field must repeat for every
month in which the participant receives subsidized employment
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 95 (Date Entered Subsidized
Employment).
|
98
|
Date Ended Subsidized
Employment
|
Enter the date on which
the participant exited subsidized employment.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 95 (Date Entered Subsidized
Employment).
|
99
|
Completed Subsidized
Employment
|
Select yes if the
participant successfully completed subsidized employment.
Select
no if the participant did not successfully complete
subsidized employment.
|
1 = Yes
2
= No
|
A. Must not be blank if
Field 98 (Date Ended Subsidized Employment) is a valid date.
|
100
|
Date Entered Internship
|
Enter the date on which
the participant started internship.
Internship
consists of on-site work experience designed to improve an
enrollee’s occupational skills and readiness for the world
of work.
|
MM/DD/YYYY
|
|
101
|
Expected Completion Date
of Internship
|
Enter the date on which
the participant is expected to complete internship.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 100 (Date Entered Internship).
|
102
|
Date of Last Internship
During the Month
|
Enter the last date during
the month in which the participant participated in an
internship.
Note: This field must repeat for every
month in which the participant is in the internship.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 100 (Date Entered Internship).
|
103
|
Date Ended Internship
|
Enter the date on which
the participant exits internship.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 84 (Date Entered Internship).
B.
Must not be blank if Field 88 is 1.
|
104
|
Completed Internship
|
Select yes if the
participant successfully completed internshipSelect no if the
participant did not successfully complete internship.
|
1 = Yes2 = No
|
A. Must not be blank if
Field 87 (Date Ended Internship) is a valid date.
|
105
|
Date Entered Workforce
Information Services
|
Enter the date on which
the participant started workforce information services.
Workforce information services include, but are not
limited to, providing information on state and local labor market
conditions; industries, occupations and characteristics of the
workforce; area business identified skills needs; employer wage
and benefit trends; short- and long-term industry and
occupational projections; worker supply and demand; and job
vacancies survey results. Workforce information also includes
local employment dynamics information such as workforce
availability; business turnover rates; job creation; job
destruction; new hire rates, worker residency, commuting pattern
information; and the identification of high-growth and
high-demand industries.
|
MM/DD/YYYY
|
|
106
|
Expected Completion Date
of Workforce Information Services
|
Enter the date on which
the participant is expected to complete workforce information
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 105 (Date Entered Workforce
Information Services).
|
107
|
Date of Last Workforce
Information Services During the Month
|
Enter the last date during
the month in which the participant received workforce information
services.
Note: This field must repeat for every
month in which the participant receives workforce information
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 105 (Date Entered Workforce
Information Services).
|
108
|
Date Ended Workforce
Information Services
|
Enter the date on which
the participant exits workforce information services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 105 (Date Entered Workforce
Information Services).
|
109
|
Completed Workforce
Information Services
|
Select yes if the
participant successfully completed workforce information
services.
Select no if the participant did not
successfully complete workforce information services.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 108 (Date Ended Workforce Information Services) is a valid
date.
|
110
|
Date Entered Training
|
Enter the date on which
the participant started any training program.
|
MM/DD/YYYY
1
= Orientation
2
= Life Skills
3
= Pre-employment Class
4
= Vocational/ Occupational Skills
5
= On-the-Job Training
6
= Internship
7
= Parenting Class
8
= Other
|
If a date is provided, a
selection must be made from the dropdown for the type of training
program.
For
values 5 and 6, employer must be provided in a text box. For
value 8, the type of class should be described in a text box.
|
111
|
Completion Date of
Training
|
Enter the date on which
the participant completed the training.
|
MM/DD/YYYY
1
= Orientation
2
= Life Skills
3
= Pre-employment Class
4
= Vocational/ Occupational Skills
5
= On-the-Job Training
6
= Internship
7
= Parenting Class
8
= Other
Yes/No
|
If a date is provided, a
selection must be made from the dropdown for the type of training
program.
For
values 5 and 6, employer must be provided in a text box. For
value 8, the type of class should be described in a text box.
Grantee
must select yes or no as to whether a certificate was provided
from the training. If yes, a text box should be filled out
providing the certificate name.
|
112
|
Date Entered Work
Readiness Training Services
|
Enter the date on which
the participant started work readiness training services.
Work
readiness training includes world of work awareness, labor market
knowledge, occupational information, values clarification and
personal understanding, career planning and decision-making, and
job search techniques (resumes, interviews, applications, and
follow-up letters). It also includes positive work habits,
attitudes, and behavior such as punctuality, regular attendance,
presenting a neat appearance, getting along and working well with
others, exhibiting good conduct, following instructions and
completing tasks, accepting constructive criticism from
supervisors and co-workers, showing initiative and reliability,
and assuming the responsibilities involved in maintaining a job.
|
MM/DD/YYYY
|
|
113
|
Date of Last Work
Readiness Training Services During the Month
|
Enter the last date during
the month in which the participant received work readiness
training services.
Note:
This field must repeat for every month in which the participant
receives work readiness training services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 112 (Date Entered Work Readiness
Training Services).
|
114
|
Date Ended Work Readiness
Training Services
|
Enter the date on which
the participant exits work readiness training services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 112 (Date Entered Work Readiness
Training.)
|
115
|
Completed Work Readiness
Training
|
Select yes if the
participant successfully completed work readiness
training.
Select no if the participant did not
successfully complete work readiness training.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 114 (Date Ended Work Readiness Training Services) is a
valid date.
|
116
|
Date Entered Career/Life
Skills Counseling
|
Enter the date on which
the participant started career/life skills counseling.
Career/Life skills counseling is any formal
counseling provided on a specific life skill or related to career
guidance.
|
MM/DD/YYYY
|
|
117
|
Expected Completion Date
of Career/Life Skills Counseling
|
Enter the date on which
the participant is expected to complete career/life skills
counseling.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 116 (Date Entered Career/Life
Skills Counseling).
|
118
|
Date of Last Career/Life
Skills Counseling Services During the Month
|
Enter the last date during
the month in which the participant received career/life skills
counseling services.
Note: This field must repeat
for every month in which the participant receives career/life
skills counseling services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 116 (Date Entered Career/Life
Skills Counseling).
|
119
|
Date Ended Career/Life
Skills Counseling
|
Enter the date on which
the participant exits career/life skills counseling.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 116 (Date Entered Career/Life
Skills Counseling).
|
120
|
Completed Career/Life
Skills Counseling
|
Select yes if the
participant successfully completed career/life skills
counseling
Select no if the participant did not
successfully complete career/life skills counseling.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 119 (Date Ended Career/Life Skills Counseling) is a valid
date.
|
121
|
Date Entered Other
Workforce Preparation Activities
|
Enter the date on which
the participant started other workforce preparation activities.
|
MM/DD/YYYY
|
|
122
|
Type of Other Workforce
Preparation Activities
|
Specify the type of other
workforce preparation activities.
|
Text
|
A. Must not be blank if
Field 121 (Date Entered Other Workforce Preparation Activities)
is a valid date.
|
123
|
Expected Completion Date
of Other Workforce Preparation Activities
|
Enter the date on which
the participant is expected to complete other workforce
preparation activities.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 121 (Date Entered Other Workforce Preparation Activities)
is a valid date.
|
124
|
Date of Last Other
Workforce Preparation Activities Services During the Month
|
Enter the last date during
the month in which the participant received other workforce
preparation activities services.
Note: This field
must repeat for every month in which the participant receives
other workforce preparation activities services.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 121 (Date Entered Other Workforce Preparation Activities)
is a valid date.
|
125
|
Date Ended Other Workforce
Preparation Activities
|
Enter the date on which
the participant exits other workforce preparation activities.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 121 (Date Entered Other Workforce
Preparation Activities).
|
126
|
Completed Other Workforce
Preparation Activities
|
Select yes if the
participant successfully completed other workforce preparation
activities
Select no if the participant did not
successfully complete other workforce preparation activities.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 125 (Date Ended Other Workforce Preparation Activities) is
a valid date.
|
Community Involvement
Activities
|
|
127
|
Date Entered Community
Service
|
Enter the date on which
the participant started community service.
Community
service is an activity in which the participants perform
volunteer work that benefits the community.
|
MM/DD/YYYY
|
|
128
|
Expected Completion Date
of Community Service
|
Enter the date on which
the participant is expected to complete community service.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 127 (Date Entered Community
Service).
|
129
|
Date of Last Community
Service During the Month
|
Enter the last date during
the month in which the participant received community service
services.
Note: This field must repeat for every
month in which the participant receives community service
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 127 (Date Entered Community
Service).
|
130
|
Date Ended Community
Service
|
Enter the date on which
the participant exits community service.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 127 (Date Entered Community
Service).
|
131
|
Completed Community
Service
|
Select yes if the
participant successfully completed community service.
Select
no if the participant did not successfully complete
community service.
|
1 = Yes
2
= No
|
A. Must not be blank if
Field 130 (Date Ended Community Service) is a valid date.
|
132
|
Date Entered Other
Community Involvement Activities
|
Enter the date on which
the participant started other community service.
|
MM/DD/YYYY
|
|
133
|
Type of Other Community
Involvement Activities
|
Specify the type of other
community service.
|
Text
|
A. Must not be blank if
Field 132 (Date Entered Other Community Involvement Activities)
is a valid date.
|
134
|
Expected Completion Date
of Other Community Involvement Activities
|
Enter the date on which
the participant is expected to complete community service.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 132 (Date Entered Other Community
Involvement Activities).
|
135
|
Date of Last Other
Community Service Services During the Month
|
Enter the last date during
the month in which the participant received other community
service services.
Note: This Field must repeat for
every month in which the participant receives other community
service services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 132 (Date Entered Other Community
Involvement Activities).
|
136
|
Date Ended Other Community
Involvement Activities
|
Enter the date on which
the participant exits community service.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 132 (Date Entered Other Community
Involvement Activities).
|
137
|
Completed Other Community
Involvement Activities
|
Select yes if the
participant successfully completed community service.
Select
no if the participant did not successfully complete
community service.
|
1 = Yes
2
= No
|
A. Must not be blank if
Field 136 (Date Ended Other Community Involvement Activities) is
a valid date.
|
Mentoring Activities
|
|
138
|
Date Entered Mentoring
Activities
|
Enter the date on which
the participant started mentoring activities.
Mentoring
is a sustained relationship between a mentor and participant,
whether one on one or in a group setting. Through continued
involvement, a mentor offers support and guidance in the
individual’s development to become a responsible member of
the community. A variety of approaches may be used such as
coaching, training, discussion, and counseling.
|
MM/DD/YYYY
|
|
139
|
Expected Completion Date
of Mentoring Activities
|
Enter the date on which
the participant is expected to complete mentoring activities.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 138 (Date Entered Mentoring
Activities).
|
140
|
Date of Last Mentoring
Activities Services During the Month
|
Enter the last date during
the month in which the participant received mentoring activities
services.
Note: This field must repeat for every
month in which the participant receives mentoring activities
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 138 (Date Entered Mentoring
Activities).
|
141
|
Date Ended Mentoring
Activities
|
Enter the date on which
the participant exits mentoring activities.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 138 (Date Entered Mentoring
Activities).
|
142
|
Completed Mentoring
Activities
|
Select yes if the
participant successfully completed mentoring activities
Select
no if the participant did not successfully complete
mentoring activities.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 141 (Date Ended Mentoring Activities) is a valid date.
|
Supportive Services
|
|
143
|
Date Entered
Transportation Services
|
Enter the date on which
the participant started transportation services.
Transportation
services include assistance or cash paid to participants for the
purpose of transportation.
|
MM/DD/YYYY
|
|
144
|
Date of Last
Transportation Services During the Month
|
Enter the last date during
the month in which the participant received transportation
services.
Note: This field must repeat for every
month in which the participant receives transportation services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 143 (Date Entered Transportation
Services).
|
145
|
Date Ended Transportation
Services
|
Enter the date on which
the participant exits transportation services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 143 (Date Entered Transportation
Services).
|
146
|
Date Entered Child Care
Services
|
Enter the date on which
the participant started child care services.
Child
care services provide participants during program participation
with child care that can be inside or outside the home, as well
as after-school programs. It usually includes supervision and
shelter.
|
MM/DD/YYYY
|
|
147
|
Date of Last Child Care
Services During the Month
|
Enter the last date during
the month in which the participant received child care services.
Note: This field must repeat for every month in which
the participant receives child care services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 146 (Date Entered Child Care
Services).
|
148
|
Date Ended Child Care
Services
|
Enter the date on which
the participant exits child care services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 146 (Date Entered Child Care
Services).
|
149
|
Date of Supportive Service
Payment
|
Enter the date on which
the participant received a supportive service payment.
|
MM/DD/YYYY
$XXX.XX
1
= Child Care
2
= Housing
3
= Clothing
4
= Food
5
= Transportation
6
= Other
|
If date is entered, a
monetary value must be entered and a type of service payment must
be selected from a dropdown menu. If other is selected, the text
box must be used to describe other service payment.
The
system must allow for separate instances of supportive service
payments and should not overwrite previous entries.
|
150
|
Date Entered Follow-up
Mentoring Services
|
Enter the date on which
the participant started follow-up mentoring services.
Follow-up
mentoring services are on-going mentoring that occurs after exit.
|
MM/DD/YYYY
|
|
151
|
Last Date of Follow-up
Mentoring Services During Month
|
Enter the last date during
the month in which the participant received follow-up mentoring
services.
Note: This field must repeat for every month
in which the participant receives follow-up mentoring services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 150 (Date Entered Follow-up
Mentoring Services).
|
152
|
Date Ended Follow-up
Mentoring Services
|
Enter the last date on
which the participant received follow-up mentoring services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 150 (Date Entered Follow-up
Mentoring Services).
|
153
|
Date Entered Other
Follow-up Services
|
Enter the date on which
the participant started other follow-up services.
Other
follow-up services are on-going supportive services that occur
after exit.
|
MM/DD/YYYY
|
|
154
|
Last Date of Other
Follow-up Services During Month
|
Enter the last date during
the month in which the participant received other follow-up
services.
Note: This field must repeat for every month
in which the participant receives other follow-up services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 153 (Date Entered Other Follow-up
Services).
|
155
|
Date Ended Other Follow-up
Services
|
Enter the last date on
which the participant received other follow-up services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 153 (Date Entered Other Follow-up
Services).
|
156
|
Date Entered Other
Supportive Services
|
Enter the date on which
the participant started other supportive services.
Other
supportive services include supportive services not listed above.
|
MM/DD/YYYY
|
|
157
|
Date of Last Other
Supportive Services During the Month
|
Enter the last date during
the month in which the participant received other supportive
services .
Note: This field must repeat for every
month in which the participant receives other supportive
services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 156 (Date Entered Other Supportive
Services).
|
158
|
Date Ended Other
Supportive Services
|
Enter the date on which
the participant exits other supportive services.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 156 (Date Entered Other Supportive
Services).
|
159
|
Date Entered Substance
Abuse/Mental Health Treatment
|
Enter the date on which
the participant entered substance abuse or mental health
treatment.
|
MM/DD/YYYY
|
If date is not blank, a
text box must be filled out containing the name of the provider
of treatment services
|
160
|
Date Completed Substance
Abuse/Mental Health Treatment
|
Enter the date on which
the participant completed substance abuse or mental health
treatment.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 159 (Date Entered Substance
Abuse/Mental Health Treatment).
|
Case Management
Services
|
161
|
Date Staff Contact/Meeting
Occurred
|
Enter the date on which
the participant met with Case Manager or other staff and type of
staff.
|
MM/DD/YYYY
1
= Case Manager
2
= Job Developer/Coach
3
= Transitional Job Coordinator
4
= Other
|
If other is selected, type
of staff should be indicated in a text box.
The
system must allow for separate instances of staff meetings and
should not overwrite previous entries.
This
service should be considered a supportive service, rather than a
core service.
|
Parenting/Child Support
Services
|
162
|
Child Support Order
Assistance
|
Enter the date on which
the participant received child support order assistance.
|
MM/DD/YYYY
|
The system must allow for
separate instances of child support assistance and should not
overwrite previous entries.
|
163
|
Child Support Order
Modification
|
Enter the date on which
the participant was granted a Child Support Order Modification.
|
MM/DD/YYYY
|
The system must allow for
separate instances of child support order modification and should
not overwrite previous entries.
|
164
|
Child Support Payment
|
Enter the date on which
the participant provided payment of a child support order and the
amount of the payment.
|
MM/DD/YYYY
$0000.00
|
The system must allow for
separate instances of child support and should not overwrite
previous entries.
|
165
|
Child Support General
Assistance
|
Enter the date on which
the participant received general (non-order) child support
assistance.
|
MM/DD/YYYY
|
The system must allow for
separate instances of child support assistance and should not
overwrite previous entries.
|
166
|
Child Visitation
Assistance
|
Enter the date on which
the participant received assistance with child visitation.
|
MM/DD/YYYY
|
The system must allow for
separate instances of child visitation assistance and should not
overwrite previous entries.
|
167
|
Parenting Class
|
Enter the date on which
the participant attended parenting class.
|
MM/DD/YYYY
|
The system must allow for
separate instances of parenting class and should not overwrite
previous entries.
|
SECTION
III – TRANSITIONAL JOB PLACEMENT
|
168
|
Work Dates and Placement
|
Enter the start date and
end dates of work in a pay period.
Enter
the location of the transitional job placement.
Enter
the type of placement:
1
= Grant Program/Worksite
2
= Private Sector Subsidized
|
Start date of pay period
MM/DD/YYYY
End
date of pay period
MM/DD/YYYY
Text
Box
|
|
169
|
Transitional Job Pay Date
|
Enter the date of paycheck
for each pay period
|
MM/DD/YYYY
|
|
170
|
Transitional Job Hours
Worked
|
Enter the number of hours
worked in each pay period
|
00
|
|
171
|
Amount of Pay Check
|
Enter the value of the
paycheck for each pay period
|
$00.00
|
|
SECTION
IV - PROGRAM OUTCOMES INFORMATION
|
|
SECTION IV.A -
FOLLOW-UP
|
|
172
|
Date of Follow-up
|
Enter the date on which
the grantee attempted to contact the participant to obtain
post-program follow-up information, such as post-program
employment and earnings information.
Repeat for each
follow-up attempt.
|
MM/DD/YYYY
|
A. Must be blank or
greater than or equal to Field 63 (Date of Exit).
|
173
|
Successful Follow-up
|
Enter yes if the
grantee successfully contacted the participant to collect
follow-up information.
Enter no if the grantee
did not successfully contact the participant to collect follow-up
information.
Repeat for each follow-up attempt.
|
1 = Yes
2 = No
|
A. Must be 1 or 2 if Field
172 (Date of Follow-up) has a valid date.
|
SECTION IV.B -
SHORT-TERM OUTCOME STATUS
|
|
174
|
Alcohol Abuse/ Drug Use at
6 Months
|
Select yes if the
individual used illegal drugs or abused legal drugs or alcohol
within six months after enrollment.
Select no
if the individual did not use illegal drugs or abuse legal drugs
or alcohol within six months after enrollment.
|
1 = Yes
2 = No
|
A. Must be 1 or 2 if Field
29 (Alcohol Abuse/ Drug Use at Intake) is 1, 2, or 3.
|
175
|
Housing Status at 6 Months
|
Select Own/Rent
Apartment, Room, Or House if, six months after enrollment,
the individual is living in an apartment, room, or house that
he/she owns or rents.
Select Staying at someone's
apartment, room, or house (Stable) if, six months after
enrollment, the individual is living in an apartment, room, or
house that somebody else owns or rents and if the person is not
at risk of being displaced from this housing, i.e. the housing
situation is long-term.
Select Halfway
house/transitional house if, six months after enrollment, the
individual is living in a residence designed to assist persons as
they re-enter society and learn to adapt to independent living
after having been in prison.
Select Residential
treatment if, six months after enrollment, the individual
lives in a residential treatment center. A residential treatment
center is a group home that provides room and board, and provides
specialized treatment or rehabilitation persons with emotional,
psychological, or developmental problems as well as chemical
dependencies.
Select Homeless if, six months
after enrollment, the individual lacks a fixed, regular, adequate
night time residence. This definition includes any
individual
who has a primary night time residence that is a publicly or
privately operated shelter for temporary accommodation; an
institution providing temporary residence for individuals
intended to be institutionalized;
|
1 = Own/rent apartment,
room, or house
2 = Staying at someone's apartment, room, or
house (Stable)
3 = Halfway house/ transitional house
4
= Residential Treatment
5 = Homeless
6 = Staying at
someone's apartment, room, or house (Unstable)
|
|
|
|
or a public or private
place not designated for or ordinarily used as a regular sleeping
accommodation for human beings. This definition does not include
an individual imprisoned or detained under an Act of Congress or
state law. An individual who may be sleeping in a temporary
accommodation while away from home should not, as a result of
that alone, be recorded as homeless.
Select Staying
at someone's apartment, room, or house (Unstable) if, six
months after enrollment, the individual is living in an
apartment, room, or house that somebody else owns or rents and if
the person is at risk of being displaced from this housing, i.e.
the housing situation is short-term.
|
|
|
176
|
Date of Initial Placement
Into Unsubsidized Employment
|
Enter the date on which
the participant started the initial unsubsidized employment.
|
MM/DD/YYYY
|
|
177
|
Employer Name for Initial
Placement Into Unsubsidized Employment
|
Enter the employer's name
for the participant's initial placement into unsubsidized
employment.
|
Text
|
A. Must not be blank if
Field 176 (Date of Initial Placement Into Unsubsidized
Employment) has a valid date.
|
178
|
Employer Contact for
Initial Placement Into Unsubsidized Employment
|
Enter the contact
information for the employer for the participant's placement into
unsubsidized employment.
|
Text
|
|
179
|
Last Date of Employment
for Initial Placement into Unsubsidized Employment
|
Enter the last date on
which the participant worked for the employer.
Enter
the reason for placement end date.
|
MM/DD/YYYY
1
= Quit
2
= Laid Off
3
= Terminated
4
= Temporary/Seasonal
5
= Incarcerated
6
= Other
|
A. Must be blank or
greater than or equal to Field 176 (Date of Initial Placement
Into Unsubsidized Employment).
|
180
|
Hourly Wage at Placement
for Initial Placement into Unsubsidized Employment
|
Enter the hourly wage for
the initial unsubsidized employment at placement.
|
00.00
|
A. Must be greater than 0
if Field 176 (Date of Initial Placement Into Unsubsidized
Employment) has a valid date.
|
181
|
Number of Hours Worked
During the 1st Full Week in Initial Placement into Unsubsidized
Employment.
|
Enter the number of hours
worked during the first full week for the initial job placement.
|
00
|
A. Must be greater than 0
if Field 176 (Date of Initial Placement Into Unsubsidized
Employment) has a valid date.
|
182
|
Repeat Fields 176 to 181
for Additional Jobs
|
Grantees must be able to
collect the above job information for as many jobs as the
participant has.
|
|
Same edits as for Fields
176 to 181.
|
183
|
Re-Arrested/
Re-Incarcerated
|
Select Re-arrested for
a new crime if the participant is arrested for a new
crime.
Select Re-incarcerated for a revocation of
the parole or probation order for violations of terms of sentence
if the participant violates parole or probation.
Select
Otherwise violated the terms and conditions of their sentence
if the participant violates his/her parole or probation and is
not re-incarcerated. (Note: This option does not count towards
the recidivism rate.)
Leave blank if none of
the above apply.
This field repeats as needed.
|
1 = Re-arrested for a new
crime
2 = Re- incarcerated for a revocation of the parole or
probation order for violations of terms of sentence
3 =
Otherwise violated the terms and conditions of their
sentence
Blank = none of the above
|
|
184
|
Date Re-Arrested/
Re-Incarcerated
|
Enter the date on which
the participant was re-arrested for a new crime or
re-incarcerated for a violation of parole or probation.
This
field repeats as needed for repeated.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 183 (Re-Arrested/Re-Incarcerated) is 1 or 2.
|
185
|
Date Entered
Post-Secondary Education
|
Enter the date on which
the participant enrolled in post-secondary education during
program participation..
Leave blank if the participant
does not enter post-secondary education during program
participation.
|
MM/DD/YYYY
Blank =
did not enter post-secondary education
|
|
SECTION III.C -
POST-PROGRAM EMPLOYMENT AND JOB RETENTION DATA
|
|
186
|
Employed in First Quarter
After Exit Quarter
|
Select yes if the
participant was employed in the first quarter after the quarter
of exit.
Select
no if the participant was not employed in the first
quarter after the quarter of exit.
|
1 = Yes
2 = No
|
A. Must be blank if Field
63 (Date of Exit) is blank.
B.
Must be 1 or 2 if Field 189 (Successful Follow-up for First
Quarter After the Exit Quarter Employment and Wage Information)
is 1.
|
187
|
Type of Employment Match
First Quarter After Exit Quarter
|
Use the appropriate code
to identify the method used in determining the individual's
employment status in the first quarter following the quarter of
exit. If the individual is found in more than once source of
employment, record the data source for which the individual's
earnings are greatest.
|
1 = UI Wage Records
(In-State and WRIS)
2 = Federal Employment Records (OPM,
USPS)
3 = Military Employment Records (DOD)
4 = Other
Administrative Wage Records
5 = Supplemental through case
management, participant survey, and/or verification with the
employer
Blank = Not Employed.
|
A. If Field 186 (Employed
in First Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records.
B.
If Field 186 (Employed in First Quarter after Exit Quarter) is 2
or blank, then this field will be auto-generated as blank.
|
188
|
Date of Follow-up for
First Quarter After the Exit Quarter Employment and Wage
Information
|
Enter the date on which
the grantee attempted to contact the participant or employer to
obtain information on employment and earnings for the 1st quarter
after the exit quarter post-program.
Repeat for each
follow-up attempt.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 186 (Employed in First Quarter After Exit Quarter) is 1.
B.
Must not be blank if Field 189 (Successful Follow-up for First
Quarter After the Exit Quarter Employment and Wage Information)
is not blank.
|
189
|
Successful Follow-up for
First Quarter After the Exit Quarter Employment and Wage
Information
|
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 1st quarter after the
exit quarter.
Enter no if the grantee did not
successfully contact the participant to collect this
information.
Repeat for each follow-up attempt.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 188 (Date of Follow-up for First Quarter After the Exit
Quarter Employment and Wage Information) is a valid date.
|
190
|
Retention Bonus/Incentive
Payment
|
Enter date and amount of
any retention bonus or incentive payment.
|
MM/DD/YY
$0000.00
|
|
191
|
Employed in Second Quarter
After Exit Quarter
|
Select yes if the
participant was employed in the second quarter after the quarter
of exit.
Select
no if the participant was not employed in the second
quarter after the quarter of exit.
|
1 = Yes
2 = No
|
A. Must be blank if Field
63 (Date of Exit) is blank.
B.
Must be 1 or 2 if Field 189 (Successful Follow-up for First
Quarter After the Exit Quarter Employment and Wage Information)
is 1.
|
192
|
Type of Employment Match
Second Quarter After Exit Quarter
|
Use the appropriate code
to identify the method used in determining the individual's
employment status in the second quarter following the quarter of
exit. If the individual is found in more than once source of
employment, record the data source for which the individual's
earnings are greatest.
|
1 = UI Wage Records
(In-State and WRIS)
2 = Federal Employment Records (OPM,
USPS)
3 = Military Employment Records (DOD)
4 = Other
Administrative Wage Records
5 = Supplemental through case
management, participant survey, and/or verification with the
employer
Blank = Not Employed.
|
A. If Field 191 (Employed
in Second Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records.
A.
If Field 191 (Employed in Second Quarter after Exit Quarter) is
2 or blank, then this field will be auto-generated as blank.
|
193
|
Hours Worked First Full
Week for the Second Quarter After the Exit Quarter.
|
Enter the number of hours
worked in the first full week of employment during the second
quarter after the exit quarter.
|
00
|
A. Must be >0 if Field
191 (Employed in Second Quarter After Exit Quarter) is 1.
|
194
|
Hourly Wages First Full
Week of Work for the Second Quarter After the Exit Quarter
|
Enter the hourly wage for
the job listed in the above element for in the first full week of
employment during the second quarter after the exit quarter.
|
00.00
|
A. Must be >0 if Field
191 (Employed in Second Quarter After Exit Quarter) is 1.
|
195
|
Date of Follow-up for
Second Quarter After the Exit Quarter Employment and Wage
Information
|
Enter the date on which
the grantee attempted to contact the participant to obtain
information on employment and earnings for the second quarter
after the exit quarter post-program.
Repeat for each
follow-up attempt.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 191 (Employed in Second Quarter After Exit Quarter) is 1.
B.
Must not be blank if Field 196 (Successful Follow-up for Second
Quarter After the Exit Quarter Employment and Wage Information)
is 1.
|
196
|
Successful Follow-up for
Second Quarter After the Exit Quarter Employment and Wage
Information
|
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 2nd quarter after the
exit quarter.
Enter no if the grantee did not
successfully contact the participant to collect this
information.
Repeat for each follow-up attempt.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 195 (Date of Follow-up for Second Quarter After the Exit
Quarter Employment and Wage Information) is a valid date.
|
197
|
Employed in Third Quarter
After Exit Quarter
|
Select yes if the
participant was employed in the third quarter after the quarter
of exit.
Select
no if the participant was not employed in the third
quarter after the quarter of exit.
|
1 = Yes
2 = No
|
A. Must be blank if Field
63 (Date of Exit) is blank.
B.
Must be 1 if Field 199 (Hours Worked First Full Week for the
Third Quarter After the Exit Quarter) is > 0.
|
198
|
Type of Employment Match
Third Quarter After Exit Quarter
|
Use the appropriate code
to identify the method used in determining the individual's
employment status in the third quarter following the quarter of
exit. If the individual is found in more than once source of
employment, record the data source for which the individual's
earnings are greatest.
|
1 = UI Wage Records
(In-State and WRIS)
2 = Federal Employment Records (OPM,
USPS)
3 = Military Employment Records (DOD)
4 = Other
Administrative Wage Records
5 = Supplemental through case
management, participant survey, and/or verification with the
employer
Blank = Not Employed.
|
A. If Field 197 (Employed
in Third Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records.
A.
If Field 197 (Employed in Third Quarter after Exit Quarter) is 2
or blank, then this field will be auto-generated as blank.
|
199
|
Hours Worked First Full
Week for the Third Quarter After the Exit Quarter
|
Enter the number of hours
worked in the first full week of employment during the third
quarter after the exit quarter.
|
00
|
A. Must be >0 if Field
197 (Employed in Third Quarter After Exit Quarter) is 1.
|
200
|
Hourly Wages First Full
Week of Work for the Third Quarter After the Exit Quarter
|
Enter the hourly wage for
the job listed in the above element for in the first full week of
employment during the third quarter after the exit quarter.
|
00.00
|
A. Must be >0 if Field
197 (Employed in Third Quarter After Exit Quarter) is 1.
|
201
|
Date of Follow-up for
Third Quarter After the Exit Quarter Employment and Wage
Information
|
Enter the date on which
the grantee attempted to contact the participant to obtain
information on employment and earnings for the 3rd quarter after
the exit quarter post-program.
Repeat for each
follow-up attempt.
|
MM/DD/YYYY
|
A. Must not be blank if
Field 197 (Employed in Third Quarter After Exit Quarter) is 1.
B.
Must not be blank if Field 202 (Successful Follow-up for Third
Quarter After the Exit Quarter Employment and Wage Information)
is 1.
|
202
|
Successful Follow-up for
Third Quarter After the Exit Quarter Employment and Wage
Information
|
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 3rd quarter after the
exit quarter.
Enter no if the grantee did not
successfully contact the participant to collect this
information.
Repeat for each follow-up attempt.
|
1 = Yes
2 = No
|
A. Must not be blank if
Field 201 (Date of Follow-up for Third Quarter After the Exit
Quarter Employment and Wage Information) is a valid date.
|
SECTION III.D -
POST-PROGRAM WAGE DATA
These Fields are to be used for wage
record data only.
|
|
203
|
Wages First Quarter After
Exit Quarter
|
Record total earnings from
wage records for the first quarter after the quarter of exit.
Enter
999999.99 if data is not yet available.
|
000000.00
|
A. This field will not be
included in the system until grantees obtain access to wage
records.
|
204
|
Wages Second Quarter After
Exit Quarter
|
Record total earnings from
wage records for the second quarter after the quarter of exit.
Enter
999999.99 if data is not yet available.
|
000000.00
|
A. This field will not be
included in the system until grantees obtain access to wage
records.
|
205
|
Wages Third Quarter After
Exit Quarter
|
Record total earnings from
wage records for the third quarter after the quarter of exit.
Enter
999999.99 if data is not yet available.
|
000000.00
|
A. This field will not be
included in the system until grantees obtain access to wage
records.
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SECTION III.E -
EDUCATION AND CREDENTIAL DATA
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206
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Attained Diploma, GED, or
Certificate #1
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Select attained a
secondary school diploma if the individual attained a
secondary school (high school) diploma recognized by the state.
Select
attained a GED or high school equivalency diploma if the
individual attained a GED or high school equivalency diploma
recognized by the state.
Select
attained a certificate in recognition of attainment of
technical or occupational skills if the individual attained a
certificate in recognition of attainment of technical or
occupational skills.
Select
did not attain a diploma, GED, or certificate if the
individual did not attain a diploma, GED, or certificate.
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1 = Attained a secondary
school (high school) diploma.
2 = Attained a GED or high
school equivalency diploma.
3 = Attained a certificate in
recognition of attainment of technical or occupational skills.
4
= Did not attain a diploma, GED, or certificate
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A. Must NOT be 1 or 2 if
Field 16 (Highest School Grade Completed) is 16, 17, 87, 88, or
90.
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207
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Date Attained Degree or
Certificate #1
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Record the date on which
the individual attained a diploma, GED, or certificate.
Leave
"blank" if the individual did not attain a diploma,
GED, or certificate.
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MM/DD/YYYY
Blank =
did not attain diploma, GED, or certificate
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A. Must be greater than
Field 62 (Date of Program Participation) if Field 206 (Attained
Diploma, GED, or Certificate #1) is 1, 2, or 3.
B.
Must be blank if Field 206 is blank or 4.
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208
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Specify the Name of
Certificate #1
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Specify the name of the
first certificate achieved.
Leave blank if no
certificate was achieved.
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Text
Blank = no
certificate achieved
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A. Must not be blank if
Field 206 (Attained Diploma, GED, or Certificate #1) is 3.
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209
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Attained Diploma, GED, or
Certificate #2
|
Select attained a
secondary school diploma if the individual attained a
secondary school (high school) diploma recognized by the state.
Select
attained a GED or high school equivalency diploma if the
individual attained a GED or high school equivalency diploma
recognized by the state.
Select
attained a certificate in recognition of attainment of
technical or occupational skills if the individual attained a
certificate in recognition of attainment of technical or
occupational skills.
Select
did not attain a diploma, GED, or certificate if the
individual did not attain a diploma, GED, or certificate.
|
1 = Attained a secondary
school (high school) diploma.
2 = Attained a GED or high
school equivalency diploma.
3 = Attained a certificate in
recognition of attainment of technical or occupational skills.
4
= Did not attain a diploma, GED, or certificate
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A. Must NOT be 1 or 2 if
Field 16 (Highest School Grade Completed) is 16, 17, 87, 88, or
90.
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210
|
Date Attained Degree or
Certificate #2
|
Record the date on which
the individual attained a diploma, GED, or certificate.
Leave
"blank" if the individual did not attain a diploma,
GED, or certificate.
|
MM/DD/YYYY
Blank =
did not attain diploma, GED, or certificate
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A. Must be greater than
Field 62 (Date of Program Participation) if Field 209 (Attained
Diploma, GED, or Certificate #2) is 1, 2, or 3.
B.
Must be blank if Field 206 is blank or 4.
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211
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Specify the Name of
Certificate #2
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Specify the name of the
second certificate achieved.
Leave blank if no
certificate was achieved.
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Text
Blank = no
certificate achieved
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A. Must not be blank if
Field 209 (Attained Diploma, GED, or Certificate #2) is 1, 2, or
3.
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