2016 - Activity Logs - PROMISE Project Staff

Promoting Readiness of Minors in SSI (PROMISE) Evaluation - Interviews with Program Staff, and Focus Group Discussions

ATTACHMENT K - Staff Activity Log

2016 - Activity Logs - PROMISE Project Staff

OMB: 0960-0799

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PROMISE: STAFF ACTIVITY LOG

MATHEMATICA POLICY RESEARCH

INSTRUCTIONS FOR COMPLETING THE PROMISE
STAFF ACTIVITY LOG
Mathematica, the national evaluator of PROMISE programs, is asking you to record how you
spend your time over the course of a week on 12 broad PROMISE activities using the attached
log. These activities represent the broad components of what PROMISE program staff might do
on a day-to-day basis. In completing the attached log, please note the following:


Your participation is voluntary and should take no more than five minutes per day.



Table 1 provides descriptions of the activities we are interested in tracking. To help you
record your time, the table includes examples from your PROMISE program corresponding
to these activities.



At the end of each day from DATE to DATE, please use the log to record how much time
(in half-hour [30 minute] increments) you spent on each activity. You are not expected to
have spent time on all of the activities listed.



Record time for an activity only if the work was a substantive effort related to that activity.
For example, time spent helping a youth develop a resume would be recorded as a “career
services and work-based learning experiences” activity, whereas time spent referring a youth
to an employment service provider would not (and would instead be recorded as a “case
management services” activity).



The 10th activity in the log is where you should record PROMISE-related travel time. The
11th activity is an ‘Other’ category in which you may record time spent on PROMISErelated work that does not correspond to any of the first 10 activities.



Do not record time spent on activities unrelated to PROMISE.



The total hours recorded should sum to the number of hours that you worked that day on
PROMISE, including any “after hours” work.



We will use the information from the completed logs, along with other information that we
will collect as part of the national evaluation of PROMISE, to develop an understanding
what is happening in your PROMISE program and to estimate the costs of activities on
which staff spend their time. It will also help other organizations to replicate your program.



[Additional instructions proposed by each PROMISE program, if any]



If you have any questions about how to complete the log, contact us at
[email protected] or call XXX-XXX-XXXX.

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PROMISE: STAFF ACTIVITY LOG

MATHEMATICA POLICY RESEARCH

Table 1: Evaluation activities and examples from your [PROMISE PROGRAM]
Activity
1. Case management services—services that involve working
with youth and families on issues not included in categories 2-6,
below, such as checking in, coordinating with other programs,
providing life skills training, connecting youth to social and health
services, and dealing with legal, transportation, or housing issues

Program-specific examples of services and
activities
[Cell to contain information provided by
each PROMISE program]

2. Career services and work-based learning experiences—
services for youth and family members related to employment,
including career counseling, finding jobs and volunteer activities,
preparing resumes, talking with employers, job coaching, summer
employment experiences, and other employment support activities

[Cell to contain information provided by
each PROMISE program]

3. Education- and school-related services—services for youth
and family members related to secondary or postsecondary
education and training, including transition meetings,
individualized education program-related activities, education
counseling, registration assistance, and education support services

[Cell to contain information provided by
each PROMISE program]

4. Benefits counseling and financial literacy training services—
services that involve working with or on behalf of youth and
families about benefits (such as SSI, SNAP, and housing), work
incentives, how earnings affect benefits, and financial literacy
counseling and supports

[Cell to contain information provided by
each PROMISE program]

5. Youth empowerment services—services related to
empowering youth by encouraging self-advocacy and promoting
self-sufficiency

[Cell to contain information provided by
each PROMISE program]

6. Parent and family training and information services—
services related to working with parents or guardians and families
in supporting and advocating for their youth and families

[Cell to contain information provided by
each PROMISE program]

7. Program administration: evaluation—activities related to
program-initiated evaluation, reporting, and monitoring

[Cell to contain information provided by
each PROMISE program]

8. Program administration: training and technical
assistance—activities related to the receipt or delivery of staff
training to improve knowledge and skills in working with youth,
families, and the community
9. Program administration: other—all other activities related to
oversight of the program and staff, reporting requirements of the
Department of Education, and general administration

[Cell to contain information provided by
each PROMISE program]

10. Travel—time spent traveling to or from meetings, events, and
trainings, including those not specifically with or on behalf of
youth and families

[Cell to contain information provided by
each PROMISE program]

11. Other PROMISE—any activities related to your PROMISE
program that do not fall into the above categories
12. Leave—time or days taken off (from your usual PROMISE
work period) for holidays, vacations, illness, or personal/family
reasons

[Cell to contain information provided by
each PROMISE program]

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[Cell to contain information provided by
each PROMISE program]

[Cell to contain information provided by
each PROMISE program]

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PROMISE Staff Activity Log

Name: ______________________ Job Title:__________________________ Dates: ______________

Activity
Total hours worked on PROMISE—Please write a zero in the days
you do not usually work

Monday

Tuesday

Wednesday

Hours
Thursday

Friday

Saturday

Sunday

1. Case management services
2. Career services and work-based learning experiences
3. Education- and school-related services
4. Benefits counseling and financial literacy training services
5. Youth empowerment services
6. Parent and family training and information services
7. Program administration: evaluation
8. Program administration: training and technical assistance
9. Program administration: other
10. Travel
11. Other PROMISE—any activities related to your PROMISE
program that do not fall into the above categories; if you use this
category, please provide a brief explanation in the line below
If you use the other PROMISE category, please write in this space to
briefly tell us what you did

12. Leave—time or days taken off (from your usual PROMISE work
period) for holidays, vacations, illness, or personal/family reasons; you
do not need to explain the type of leave taken

 Please make sure the hours for each day sum to the total hours that you entered in the first row.
 If you have any questions about how to complete the log, contact [email protected] or call XXX-XXX-XXXX.

 After you’ve completed the log for the week, please e-mail the form to [email protected] or fax it to [staff name] at XXX-XXXXXXX.
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File Typeapplication/pdf
AuthorThoneycutt
File Modified2016-01-15
File Created2015-12-09

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