Focus Group Incentive Record

Attachment 10: Post-Release Participant Focus Group Incentive Receipt Record

Linking to Employment Activities Pre-Release (LEAP) Evaluation

Site Visit Protocols

March 2016

This page has been left blank for double-sided copying.

Incentive Receipt Record

Evaluation of the Linking to Employment Activities

Pre-release Program

Focus Group - [SITE NAME]

By signing, I am confirming that I participated in a focus group for the Evaluation of the LEAP program on [DATE] and received a gift card in the amount of $25.00 for my participation.

Printed Name		Signature