VETS-701 Technical Performance Report (TPR)

Veterans’ Employment and Training Service Competitive Grant Programs Reporting

VETS-701 TPR.xlsb

OMB: 1293-0014

Document [xlsx]
Download: xlsx | pdf

Overview

Planned Goals
Tech Perf Report
New Enrollment Entry
Participant Info
Demographics Summary
Goals v. Actual


Sheet 1: Planned Goals

Accessibility key: Users may only edit empty cells. Strikethrough indicates a potential data entry error.
TPR Version: PY 2023 v1.1
United States Department of Labor
Veterans' Employment & Training Service
Summary of Proposed Goals for the Program Year
0
0
0
0 0
0 Select the applicable Program Year for this report. Program Year (PY) 0 OMB Approval 1293-0014 | Expires XX/XX/XXXX 0
PY 2023 7/1/2023 - 6/30/2024 Homeless Veterans' Reintegration Program (HVRP)
Report current PY Year funds only. First year grantees will equal initial award amount. Second and third year grantees will equal amount of funding awarded for this PY. Carry-in funds from previous years within the PoP are not to be included. PY Funding Amount 0

The form MUST BE LOCKED once the user has entered the planned values and verified the accuracy of these figures. Contact your GOTR to modify locked values. Lock Status UNLOCKED

0
Enter the name of your agency or organization. Recipient Name 0 0

Primary State For First Year grantees, represents the primary state identified in Attachment A - Abstract of their grant application. For Second and Third year grantees, represents the primary state as assigned by the GOTR.
WARNING: PLANNED GOALS UNLOCKED
Users must only edit empty yellow cells when this form is unlocked.
GOTR must lock Planned Goals before submitting TPR to National Office

Select your grant type from the drop down. HVRP - Homeless Veterans' Reintegration Program grantees serve all eligible population categories. HWVHVWC - Homeless Women Veterans’ and Homeless Veterans’ with Children Reintegration Grant Program. Previously referred to as Homeless Female Veterans/Veterans with Families (HFVVWF), these grantees use 100 percent of their grant funding to serve homeless women veterans and homeless veterans with children. IVTP - Incarcerated Veterans' Transition Program grantees use 100 percent of their grant funding to serve incarcerated veterans and/or veterans recently released from incarceration who are at risk of homelessness. Grant Type 0


0 0
Planned Measures Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Total
# of Participants Enrolled



N/A N/A N/A N/A Err:520
# of Exited Participants Placed into Employment Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520
Average Hourly Wage at Placement



N/A N/A N/A N/A Err:520
Placement Rate



N/A N/A N/A N/A Err:520
# of Participants Exited



N/A N/A N/A N/A Err:520
# Earned Wages in the 2nd Full Qtr After Exit N/A N/A 0 0 0 0 N/A N/A Err:520
Employment Rate 2nd Qtr After Exit N/A N/A



N/A N/A 0.0%
Median Earnings 2nd Qtr After Exit N/A N/A N/A N/A N/A N/A N/A N/A

# Earned Wages in the 4th Qtr After Exit



0 0 0 0 Err:520
Employment Rate 4th Full Qtr After Exit N/A N/A N/A N/A



0.0%
Cost Per Placement quarterly and cumulative goals are the same number, applied to all three PYs. Cost Per Placement is calculated as follows: the total PoP funding amount divided by the total PoP planned number of participants placed into employment. Cost Per Placement
(First Year grantees only)




N/A N/A N/A N/A

# of Episodically Homeless Participants Exited
(Second & Third Year grantees only)




N/A N/A N/A N/A 0
# of Exited Episodically Homeless Participants Placed into Employment (Second & Third Year grantees only)



N/A N/A N/A N/A 0
Placement Rate of Exiters who were Episodically Homeless (Second & Third Year grantees only) 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A 0.0%
Percentage of Enrollments Trained 80% 80% 80% 80%



80%
All direct costs associated with the supervision and management of the program. Examples include: compensation of employees, cost of materials consumed or expended, travel, other allowable activities and items of expense incurred as allowable under 2 CFR Part 200.403. Enter quarterly increments totaling to the amount shown in SF-424A Line i. Total Direct Charges. Direct Costs



N/A N/A N/A N/A Err:520
A cost that is incurred for a common or joint purpose benefitting more than one cost objective. This cost is not readily assignable to the specific cost objective. Enter quarterly increments totaling to the amount shown in SF-424A Line j. Indirect Charges. You must have an agreement or claim de minimis to claim indirect costs. De minimis is only for grantees who have never had a negotiated indirect cost rate agreement. Indirect (F&A) costs mean those costs incurred for a common or joint purpose benefitting more than one cost objective, and not readily assignable to the cost objectives specifically benefitted, without effort disproportionate to the results achieved. To facilitate equitable distribution of indirect expenses to the cost objectives served, it may be necessary to establish a number of pools of indirect (F&A) costs. Indirect (F&A) cost pools must be distributed to benefitted cost objectives on bases that will produce an equitable result in consideration of relative benefits derived. 2 CFR 200.414 Indirect Costs



N/A N/A N/A N/A Err:520
Total Planned Expenditures Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520


Public Burden Statement - According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information is 1293-0014. The time required to complete this information collection is 1 hour per response, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. The obligation to respond is required to obtain or retain a benefit (38 U.S.C. 2021 and 2023). If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Labor, Veterans' Employment and Training Service, 200 Constitution Avenue, N.W., Washington D.C. 20210.



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Sheet 2: Tech Perf Report

Accessibility key: Strikethrough indicates a potential data entry error. Check mark icon indicates performance meets/exceeds expectations. Exclamation icon indicates underperformance, but considered to be meeting minimum performance expectations and does not require corrective action. X icon indicates performance failing to meet minimum expectations.

United States Department of Labor

Veterans' Employment & Training Service

Competitive Grants Quarterly Technical Performance Report



0

0 Enter your grant number. Grants awarded prior to 7/1/2023 will have 5-digit grant #s and must add a leading 0. FY23 and newer grants should enter the last 6 digits of the FAIN. Short Grant Number 0 OMB Approval 1293-0014| Expires XX/XX/XXXX 0 0


Homeless Veterans' Reintegration Program (HVRP)

Current PY Funding Amount

Err:520

Please select the quarter covered by this report. Reporting Period 0

Q1 July 1 - September 30 Primary State Represents the primary state as assigned by the GOTR, this is pulled from the Planned Goals sheet. 0 0

If this TPR is for the 1st year of the grant's period of performance (PoP), select "First Year." If this TPR is for the 2nd year of the grant's PoP, select "Second Year." If this TPR is for the 3rd and final year of the grant's PoP, select "Third Year." Period of Performance (PoP) Year 0

First Year Recipient Name 0



0

Actual Measures For each TPN Action measure flagged with a: • Red X - the grantee is failing to meet minimum performance expectations for this measure. • Yellow ! - the grantee is meeting minimum performance expectations for this measure. • Green 𐓡 - the grantee is meeting or exceeding performance expectations for this measure. TPN Action Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Total

An eligible individual that is not a carryover participant that receives a service funded by the program. • Re-enrollment: an individual participant may be enrolled in the program more than once throughout the grant’s period of performance under the following conditions: a) more than 90 days have passed since the participant's last exit date; and b) the participant is still eligible to receive HVRP services. This is considered a new enrollment. • Re-opening: Participants that exit and return for services within 90 days of exit retain their original enrollment/eligibility status. This is not a new enrollment as the participant received services within 90 days of exit. # of Participants Enrolled Err:520 0 0 0 0 N/A N/A N/A N/A Err:520

An HVRP participant whose enrollment continued or "carried over" into the following program year. Any individual who is showing as not exiting the grantee’s program by the last day of the program year must continue to receive services to be (1) carried over to the next program year; or (2) exited from the grantee’s program. # of Carryover Participants from Prior PY N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Enrollment in American Job Center (AJC) services, for the purposes of competitive grants reporting, occurs when the homeless veterans program participant receives a Wagner-Peyser Act-funded Employment Service (ES), a Jobs for Veterans State Grant (JVSG)-funded Disabled Veterans Outreach Program service or another WIOA title I-funded service, such as WIOA title I services for adults or dislocated workers. Please note that homeless veterans program grantees must enroll their participants into ES, JVSG or WIOA title I-funded services according to the service strategy and timeline outlined in each individual service plan. Enrollment of the homeless veterans program participant into an ES, JVSG or WIOA service must occur during the active period of performance outlined in the VETS’ competitive grant award. # of Participants Co-Enrolled in AJC Services N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Participants who secure or obtain employment during the period of participation. Grantees are allowed to report and take credit for one placement per enrollment per program year. Please note that each placed participant must also be exited in order to obtain credit when computing performance on the placement rate indicator. Also, while each grantee may report only one countable placement per enrolled eligible participant per program year within the official reporting tools, you may track and report total placement transactions (when a participant is placed into employment multiple times) within your narrative reports. # of Exited Participants Placed into Employment (cannot be greater than # exits) N/A 0 0 0 0 N/A N/A N/A N/A Err:520

The average or mean hourly wage (dollars/hour) at placement for those participants reported as placed into employment during the reporting period. The average hourly wage at placement is calculated by dividing the sum total of hourly wages for all placements by the total number of participants reported as placed in employment during the same period. In instances where a participant is placed into employment multiple times (e.g., when a participant is placed into two part-time jobs, or when a participant exits and returns within 90 days, and is subsequently placed again into employment), the grantee, using its discretion, must select a single hourly wage to represent that participant in the calculation of average hourly wage at placement. Average Hourly Wage at Placement Err:520 $0.00 $0.00 $0.00 $0.00 N/A N/A N/A N/A Err:520

The placement rate is calculated by dividing the total number of participants employed in one or more jobs in the reporting period by the total number of exiters during the same period. Each placed participant must also be exited in order to obtain credit on this indicator. Placement Rate Err:520 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A Err:520

A participant who is placed or dropped during a quarter and is not scheduled to receive future homeless veterans program services for the next 90 or more days is considered an exiter. Follow-up services do not count as “future services”. Note: Training costs are considered "future services” and may only be provided/expended while the participant is an active participant of the program. Once a participant becomes an exiter, the sequence for tracking outcomes is determined by the exit quarter. Those participants experiencing a gap in service of 90 days or more due to condition, and/or temporary departure from the area such as for National Guard/Reserve duty may be temporarily exempted from being exited for a portion of the grant recipient’s period of performance. # of Participants Exited N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for definition of "At Risk of Homelessness". This number also includes participants enrolled as "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration". # of Participants Enrolled who were At-Risk of Homelessness N/A 0 0 0 0 N/A N/A N/A N/A Err:520

% of Participants Enrolled who were At-Risk of Homelessness N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Episodic Homeless" # of Participants Enrolled who were Episodically Homeless N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Episodic Homeless" # of Exited Participants who were Episodically Homeless N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Episodic Homeless" # of Exited Participants who were Episodically Homeless Placed into Employment N/A 0 0 0 0 N/A N/A N/A N/A Err:520

The Placement Rate of Exiters who were Episodically Homeless is calculated by dividing the total Number of Exited Participants who were Episodically Homeless Placed into Employment in the reporting period by the total Number of Exited Participants who were Episodically Homeless during the same period. Each placed participant must also be exited in order to obtain credit on this indicator. The indicator only applies to grantees with periods of performance beginning on or before July 1, 2022. Placement Rate of Exiters who were Episodically Homeless (PoP Year 2 and Year 3 grantees only) Err:520 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A Err:520

This cost per placement measure is calculated by dividing the total cumulative expenditures for the reporting period by the total number of participants placed into employment during the reporting period. This measure only applies to grantees with a period of performance beginning on or after July 1, 2023. Cost Per Placement (PoP Year 1 grantees only) Err:520 $0 $0 $0 $0 N/A N/A N/A N/A $0

Homeless Women Veteran - # Enrolled N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Homeless Women Veteran - # Exited N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Homeless Women Veteran - # Placed into Employment N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Placement Rate of Exiters who were Homeless Women Veterans N/A 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A Err:520

Homeless veterans with children means homeless veterans with dependents. For the definition of “dependents,” VETS uses the definition of “child” at 38 USC 101(4). Homeless Veteran with Children - # Enrolled N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Homeless veterans with children means homeless veterans with dependents. For the definition of “dependents,” VETS uses the definition of “child” at 38 USC 101(4). Homeless Veteran with Children - # Exited N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Homeless veterans with children means homeless veterans with dependents. For the definition of “dependents,” VETS uses the definition of “child” at 38 USC 101(4). Homeless Veteran with Children - # Placed into Employment N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Homeless veterans with children means homeless veterans with dependents. For the definition of “dependents,” VETS uses the definition of “child” at 38 USC 101(4). The Placement Rate of Exiters who were Homeless with Children is calculated by dividing the total Number of Exited Participants who were Homeless with Children in the reporting period by the total Number of Exited Participants who were Homeless with Children during the same period. Each placed participant must also be exited in order to obtain credit on this indicator. Placement Rate of Exiters who were Homeless Veterans with Children N/A 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" At Risk Veteran Recently Released or Transitioning from Incarceration - # Enrolled N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" At Risk Veteran Recently Released or Transitioning from Incarceration - # Exited N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" At Risk Veteran Recently Released or Transitioning from Incarceration - # Placed into Employment N/A 0 0 0 0 N/A N/A N/A N/A Err:520

Refer to VPL 02-23 Homeless Veterans’ Reintegration Program Participant Eligibility Attachment 1 for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" The Placement Rate of Exiters At Risk of Homelessness who were Recently Released or Transitioning from Incarceration is calculated by dividing the total Number of Exited Participants who were At Risk Veterans Recently Released or Transitioning from Incarceration in the reporting period by the total Number of Exited Participants who were At Risk Veterans Recently Released or Transitioning from Incarceration during the same period. Each placed participant must also be exited in order to obtain credit on this indicator. Placement Rate of Exiters At Risk of Homelessness who were Recently Released or Transitioning from Incarceration N/A 0.0% 0.0% 0.0% 0.0% N/A N/A N/A N/A Err:520

The number of exited participants for the reporting period who were in unsubsidized employment (earning wages) in the second quarter after the participant exited from the program. For example, if a participant exited on September 15th, their exit quarter is Q1. The grantee will follow up with the participant two quarters later in Q3 (January - March) to record whether or not the participant is earning wages. # of Exiters who Earned Wages 2nd Qtr After Exit N/A N/A N/A 0 0 0 0 N/A N/A Err:520

The percentage of program participants who are in unsubsidized employment during the 2nd quarter after exit from the program. The rate is computed by dividing the number of exiters employed in the 2nd quarter after exit by the total number of exiters for the reporting period. Employment Rate in the 2nd Qtr After Exit Err:520 N/A N/A 0.0% 0.0% 0.0% 0.0% N/A N/A Err:520

The median earnings of program participants who are in unsubsidized employment during the 2nd quarter after exit from the program. Earnings are calculated based on one quarter’s worth of wages (a quarter is 13 weeks). The median is found by listing all of the exited participants’ earnings in the 2nd quarter after exit from lowest value to highest value and picking the middle value. If there are two values in the middle, the median is the average of those two values. Median Earnings 2nd Qtr After Exit Err:520 N/A N/A Err:520 Err:520 Err:520 Err:520 N/A N/A Err:520

The number of exited participants for the reporting period who were in unsubsidized employment (earning wages) in the fourth quarter after the participant exited from the program. For example, if a participant exited on September 15th, their exit quarter is Q1. The grantee will follow up with the participant four quarters later in Q5 (July - September) to record whether or not the participant is earning wages. # of Exiters who Earned Wages 4th Qtr After Exit N/A N/A N/A N/A N/A 0 0 0 0 Err:520

The percentage of program participants who are in unsubsidized employment during the 4th quarter after exit from the program. The rate is computed by dividing the number of exiters employed in the 4th quarter after exit by the total number of exiters for the reporting period. Employment Rate in the 4th Qtr After Exit Err:520 N/A N/A N/A N/A 0.0% 0.0% 0.0% 0.0% Err:520

An unduplicated count of the number of enrollments who received training. Each enrollment may take more than one type of training. Carryover participants are not included this count. Unduplicated Count of Enrollments Trained
Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Percentage of enrollments who received some type of training service whether provided directly by the grantee or referred to and provided by another training provider. The VETS goal for the percentage of enrollments who receive training services is 80%. This goal applies to all grantees regardless of funding amount or number of enrollments. Performance on this indicator is calculated by dividing the unduplicated count of enrollments trained by the total number of participants enrolled in the grant program, cumulative to the reporting quarter. % of Enrollments Trained Err:520 Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Training Types by Quarter Last Received N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Apprenticeship Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Career Technical Training is any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading basic skills through courses such as remedial education, training in the primary language of persons with limited English language proficiency, or English as a second language training. Career Technical Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

A training program designed to meet the requirements of an employer who has entered into an agreement with a local workforce development area to hire individuals trained to the employer’s specifications. The training may occur at the employer’s site or may be provided by a training vendor to meet the employer’s requirements. Such training usually requires a commitment from the employer to hire a specific number of trainees who satisfactorily complete the training. Customized Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Training that provides an individual with the knowledge and skills to start and grow a business. Entrepreneurial Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Occupational Skills Training includes both: 1) Vocational education that provides individuals with the technical skills and information required to perform a specific job or group of jobs; AND 2) On-the-job training Occupational Skills Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

OJT is training by an employer that is provided to a paid participant and (a) provides knowledge or skills essential to performance of the job; and/or (b) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant. This includes costs of providing the training and additional supervision related to the participant and takes into account the content of the training, the prior work experience of the participant, and the service strategy of the participant. In the OJT agreement, there is a promise on the part of the employer to hire the trainee upon successful completion of the training. On-the-Job Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Other Training refers to any type of relevant employment-based training service NOT listed above. Other Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Services by Quarter Last Received N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

The unduplicated count of participants who received services by quarter last received. Each participant may receive more than one service. Carryover participants are included this count. # of Participants Receiving Services (Unduplicated) N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Accommodations for Persons with Disabilities N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Child/Dependent Care N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Drug & Alcohol Counseling N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Educational Supplies & Fees N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Services designed to help a newly-employed veteran adjust to his or her new job and are considered part of the veteran employment plan. A career counselor or job coach typically provides these services during the first month or so of employment. He or she offers guidance on any issues the newly employed individual encounters, including areas such as the following: • Counseling to help the newly hired veteran adjust to new routines, schedules, and work environments; • Building relationships with co-workers; • Enhancing customer service skills; • Understanding and adapting to the company’s culture; and • Counseling to help the newly-employed veteran work through the job situations that she or he finds most troublesome. Employment Adjustment Services N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Financial counseling may include: (i) supporting the ability of participants to create household budgets, initiate savings plans, and make informed financial decisions; (ii) supporting the ability to manage spending, credit, and debt, including credit card debt, effectively; (iii) increasing awareness of the availability, usage and significance of credit reports and scores in obtaining credit, and their effect on credit terms; (iv) supporting the ability to understand, evaluate, and compare financial products, services, and opportunities; and (v) supporting activities that address the particular financial literacy needs of non-English speakers, including providing the support through the development and distribution of multilingual financial literacy and education materials. Financial Counseling N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Health Care Service N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Job Readiness Training prepares participants to seek or obtain employment, and to keep a job once hired. Training/instruction could be: Preparing a cover or thank you letter; Work-focused career exploration; Training in effective job seeking; or, Instruction in soft skills and workplace expectations, such as: Behavior on the job; Getting along with co-workers/boss; Being reliable and on-time; Filling out paperwork (for example, timesheets); Appropriate attire. Job Readiness Training N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

An activity focusing on building practical skills, identifying and initiating employer contact, and conducting successful interviews with employers. Various approaches may include job club participation, identifying personal strengths and goals, résumé application preparation, interviewing techniques, and receiving labor market information. Job search assistance is often self-service activities where individuals obtain information about job openings. Job Search Assistance N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Legal Aid Service N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

A person living in a supervised public or privately operated shelter designed to provide temporary living arrangements. Temporary Shelter N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Refers to a vocational rehabilitation program that places people with barriers to employment, in paid entry-level job in competitive working surroundings to attain the abilities and experience required to, at some point, attain a lasting job in the community workforce. Transitional Job N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Transportation N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Work Attire/Tools/ Equipment N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Any other type of relevant supportive service NOT listed above. Other Supportive Service N/A Err:520 Err:520 Err:520 Err:520 N/A N/A N/A N/A Err:520

Expenditures & Obligations N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

All direct costs associated with the supervision and management of the program. Examples include: compensation of employees, cost of materials consumed or expended, travel, other allowable activities and items of expense incurred as allowable under 2 CFR Part 200.403. Carry-in funds from previous years within the PoP are not to be included. Report expenditures and obligations of previous PY funds in that Year's TPR. Direct Costs N/A







Err:520

A cost that is incurred for a common or joint purpose benefitting more than one cost objective. This cost is not readily assignable to the specific cost objective. Carry-in funds from previous years within the PoP are not to be included. Report expenditures and obligations of previous PY funds in that Year's TPR. You must have an agreement or claim de minimis to claim indirect costs. De minimis is only for grantees who have never had a negotiated indirect cost rate agreement. Indirect (F&A) costs mean those costs incurred for a common or joint purpose benefitting more than one cost objective, and not readily assignable to the cost objectives specifically benefitted, without effort disproportionate to the results achieved. To facilitate equitable distribution of indirect expenses to the cost objectives served, it may be necessary to establish a number of pools of indirect (F&A) costs. Indirect (F&A) cost pools must be distributed to benefitted cost objectives on bases that will produce an equitable result in consideration of relative benefits derived. 2 CFR 200.414 Indirect Costs N/A







Err:520

Carry-in funds from previous years within the PoP are not to be included. Report expenditures and obligations of previous PY funds in that Year's TPR. Total Actual Expenditures and Obligations - Current PY Funds
N/A Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520

Unobligated Balance of Current PY Funds N/A Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520 Err:520

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Public Burden Statement - According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information is 1293-0014. The time required to complete this information collection is 14.25 hours (first year grantees) or 7.25 hours (second and third year grantees) per response, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. The obligation to respond is required to obtain or retain a benefit (38 U.S.C. 2021 and 2023). If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Labor, Veterans' Employment and Training Service, 200 Constitution Avenue, N.W., Washington D.C. 20210.







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End of form

















Sheet 3: New Enrollment Entry

0 Participant Information Enrollment Information Training Services 0
OPTIONAL: Grantee Participant ID (Enter organizational or system identifier) OptionalID
Service Start Date (Carryover<Program Year Start) This is the oldest (first) date amongst the service/training date fields. It represents the date the participant first received qualified (i.e., not self-service, informational, or follow-up) grant-funded services or benefits. If a carry-over, enter the first date served (prior to current Program Year, 07/01/202#).

Date of First Training Enter the date the individual first received training. DtFirstTrn
Accommodations for Persons with Disabilities: Date Last Provided QtrLastAccomDisab
First 4 Letters of Participant Last Name
(If fewer than 4 letters, enter "X"s as placeholders)
Enter only the first four letters of the participant's last name. If less than four letters, use "x" as a placeholder as needed until reaching four characters. LastName
Co-Enrolled in American Job Center (AJC) The participant is co-enrolled in Wagner-Peyser Act, Jobs for Veterans State Grant, and/or Workforce Innovation and Opportunity Act services via an American Job Center (AJC). If the participant refused to be co-enrolled in AJC program, the participant's case file must include documentation of when the grantee offered to co-enroll the participant and why the participant rejected AJC services. CoEnrAjc
Apprenticeship: Date Last Provided Enter the date the individual last received this training. DtLastTrn1
Child/Dependent Care: Date Last Provided Childcare/Dependent Care - If HVRP funds were used to provide childcare services, the participant must meet the definition of homeless veterans with children, in accordance with 38 U.S.C. § 2021A, to expedite the reintegration of homeless women veterans and homeless veterans with children into the labor force. For the purposes of defining child or dependent, DOL/VETS uses the definition of “child” at 38 U.S.C. §101(4)(A). The use of grant funds for childcare services (allowable only to participants that meet the definition of a homeless veteran with children) is limited to 45 days, and the amount of assistance must be reasonable considering the average cost of childcare within the local community.  Grant recipients must have the use of funds for childcare services for these eligible participants in their budget narrative and must identify how they will exhaust other resources before identifying grant funds for this purpose. A grant recipient must provide proof of co-enrollment with the American Job Center (AJC) and refer homeless veterans with children participants to AJC partners, such as the Temporary Assistance for Needy Families (TANF) program or other federal benefit services, for childcare services. If a veteran with children can obtain funding for childcare services by any other means, such as through other federal or state programs, then HVRP grant funds cannot be used for such childcare costs.  A grant recipient must have a standard operating procedure (SOP) in place to ensure this process is implemented and executed consistently and equitably.  QtrLastChildCare
Blank Fields are equivalent to "No" Participant First Initial FirstName
Date Received First Service with American Job Center (AJC) Enter the date the Participant first received a Wagner-Peyser Employment Service, a Jobs for Veterans State Grant (JVSG) Disabled Veterans Outreach Program (DVOP) service, and/or any other Workforce Innovation and Opportunity Act (WIOA) service at the American Job Center (AJC). The date of first service must be within the grant's period of performance. AjcDate
Apprenticeship: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs1
Drug & Alcohol Counseling: Date Last Provided QtrLastDrugAlcCouns
Participant Middle Initial Enter "X" if no middle initial. Intitial
Co-Enrolled in Federal Emergency Management Agency (FEMA) CoEnrFema
Career Technical: Date Last Provided Enter the date the Participant last received Career Technical training. Career Technical Training is any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading basic skills through courses such as remedial education, training in the primary language of persons with limited English language proficiency, or English as a second language training. DtLastTrn2
Educational Supplies & Fees: Date Last Provided QtrLastEducFees
Birth Date Please input the participant's date of birth. DOB
Co-Enrolled in VA's Grant and Per Diem (GPD) / Transitional Housing CoEnrGpd
Career Technical: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs2
Employment Adjustment Services: Date Last Provided Services designed to help a newly-employed veteran adjust to his or her new job and are considered part of the veteran employment plan. A career counselor or job coach typically provides these services during the first month or so of employment. He or she offers guidance on any issues the newly employed individual encounters, including areas such as the following: • Counseling to help the newly hired veteran adjust to new routines, schedules, and work environments; • Building relationships with co-workers; • Enhancing customer service skills; • Understanding and adapting to the company’s culture; and • Counseling to help the newly-employed veteran work through the job situations that she or he finds most troublesome. QtrLastEmpAdjSvc
Highest Education Level (at enrollment) Enter the Highest Education Level at the time of enrollment: • Attained secondary school diploma • Attained a secondary school equivalency • Completed one of more years of postsecondary education • Attained a postsecondary technical or vocational certificate (non-degree) • Attained an Associate's degree • Attained a Bachelor's degree • Attained a degree beyond a Bachelor's degree • No Educational Level Completed HighestEdLvl
Co-Enrolled in Supportive Services for Veteran Families (SSVF) CoEnrSsvf
Customized: Date Last Provided Enter the date the Participant last received Customized training. A training program designed to meet the requirements of an employer who has entered into an agreement with a local workforce development area to hire individuals trained to the employer’s specifications. The training may occur at the employer’s site or may be provided by a training vendor to meet the employer’s requirements. Such training usually requires a commitment from the employer to hire a specific number of trainees who satisfactorily complete the training. DtLastTrn3
Financial Counseling: Date Last Provided Financial counseling may include: (i) supporting the ability of participants to create household budgets, initiate savings plans, and make informed financial decisions; (ii) supporting the ability to manage spending, credit, and debt, including credit card debt, effectively; (iii) increasing awareness of the availability, usage and significance of credit reports and scores in obtaining credit, and their effect on credit terms; (iv) supporting the ability to understand, evaluate, and compare financial products, services, and opportunities; and (v) supporting activities that address the particular financial literacy needs of non-English speakers, including providing the support through the development and distribution of multilingual financial literacy and education materials. QtrLastFinCouns
Sex (Assigned at Birth) Please indicate the participant's sex assigned at birth (e.g. what is listed on the participant's birth certificate). Sex
Co-Enrolled in SSVF-Shallow Subsidy (Rental Assistance) CoEnrSsvfSs
Customized: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs3
Health Care Service: Date Last Provided QtrLastHealthCare
0 Gender Identity • Select Male if the participant identifies as male. • Select Female if the participant identifies as female. • Select Non-Binary if the participant identifies as a gender that is not male or female, a gender outside the binary, no gender, more than one gender, a culturally specific gender, or a gender that changes over time (e.g., non-binary, genderfluid, agender). • Select Transgender if the participant identifies with a transgender history, experience, or identity. • Select Another Gender Identity if the participant is unsure, exploring, or may not relate to or identify with a gender identity at this time. • Select Participant Did Not Identify if the participant opted not to identify a gender. Gender
Co-Enrolled in Native American Housing Assistance & Self-Determination Act (NAHASDA) CoEnrNahasda
Entrepreneurial: Date Last Provided Enter the date the Participant last received Entrepreneurial training. Training that provides an individual with the knowledge and skills to start and grow a business. DtLastTrn4
Job Readiness Training: Date Last Provided Job Readiness Training prepares participants to seek or obtain employment, and to keep a job once hired. Training/instruction could be: Preparing a cover or thank you letter; Work-focused career exploration; Training in effective job seeking; or, Instruction in soft skills and workplace expectations, such as: Behavior on the job; Getting along with co-workers/boss; Being reliable and on-time; Filling out paperwork (for example, timesheets); Appropriate attire. DtLastTrn3
Sexual Orientation • Select Straight/Heterosexual if the participant identifies as straight/heterosexual. • Select Gay or Lesbian if the participant identifies as gay, lesbian, or homosexual. • Select Bisexual if the participant identifies as bisexual. • Select Another Sexual Orientation if the participant identifies as another sexual orientation not described above or is questioning or unsure. Select Participant Did Not Identify if the participant opted not to identify a sexual orientation. Orient
Co-Enrolled in Veterans Affairs Supportive Housing (VASH) Received a VA supported housing voucher through Veterans Affairs Supportive Housing (VASH) program. CoEnrVash
Entrepreneurial: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs4
Job Search Assistance: Date Last Provided An activity focusing on building practical skills, identifying and initiating employer contact, and conducting successful interviews with employers. Various approaches may include job club participation, identifying personal strengths and goals, résumé application preparation, interviewing techniques, and receiving labor market information. Job search assistance is often self-service activities where individuals obtain information about job openings. QtrLastJobSrchAsst
Ethnicity Select Hispanic or Latino if the participant self-identifies as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race. Ethnicity
At Risk of Homelessness An individual may be either at risk for homelessness or homeless, but not both at once. Select Yes if the participant, who at program entry, is at risk of homelessness within the next 60 days and meets the following criteria: • has income below 30 percent of the median income for the geographic area; • has insufficient resources immediately available to attain housing stability; and ○ has moved frequently because of economic reasons; ○ is living in the home of another because of economic hardship; ○ has been notified that their right to occupy their current housing or living situation will be terminated; ○ lives in a hotel or motel; ○ lives in severely overcrowded housing; ○ is exiting an institution; or ○ otherwise lives in housing that has characteristics associated with instability and an increased risk of homelessness. This also includes participants enrolled as "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration". Refer to the HVRP Participant Eligibility VPL for the full definition of "At Risk of Homelessness". AtRisk
Occupational Skills: Date Last Provided Enter the date the participant last received Occupational Skills Training. Includes both vocational education that provides individuals with the technical skills and information required to perform a specific job or group of jobs, and unpaid on-the-job training. DtLastTrn5
Legal Aid Services: Date Last Provided QtrLastLegalSvcs
American Indian or Alaska Native Enter Yes if the participant self-identifies with any of the original peoples of North, Central, and South America (including Central America). It includes people who identify as “American Indian” or “Alaska Native”. AmIndOrAkNtv
Homeless Select "Yes" if the participant is homeless (to include those who found housing during the 60-day period preceding the date of enrollment). A veteran is homeless when: • They lack fixed, regular, and adequate nighttime residence; • They have a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings, including a car, park, abandoned building, bus, or train station, airport, or camping ground; • They live in a supervised public or privately operated shelter designed to provide temporary living arrangements; • They resided in a shelter or place not meant for human habitation and who is exiting an institution where they temporarily resided; • They will imminently lose their housing, has no subsequent residence identified, and who lacks the resources or support network needed to obtain other permanent housing (see additional requirements); • They have homeless families with children and youth defined as homeless under other federal statutes who have experienced a long period without permanent housing; have experienced persistent instability as measured by frequent moves over such period; and can be expected to continue in such status for an extended period of time because chronic disabilities, chronic physical health or mental health conditions, substance addiction, histories of domestic violence or childhood abuse, the presence of a child or youth with a disability, or multiple barriers to employment; • They are fleeing, or attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions in the individual's or family's current housing situation, including where the health and safety of children are jeopardized, and who have no other residence and lack the resources or support network to obtain other permanent housing. Refer to the HVRP Participant Eligibility VPL for the full definition of "Homelessness". Homeless
Occupational Skills: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs5
Temporary Shelter/Housing Assistance: Date Last Provided If HVRP funds were used to provide Temporary Shelter or Housing Assistance, grant recipients must have the use of funds for housing assistance for these eligible participants in their budget narrative (an allowable cost only for recently released incarcerated veterans) and must identify how they will exhaust other housing options such as those offered by penal institutions, community-based housing providers, or other housing assistance options before identifying grant funds for this purpose.  The use of grant funds for housing assistance is limited to 90 days, and the amount of assistance must meet the test of rent reasonableness.  To meet this test and to be able to pay a landlord up to 90 days of reasonable rent, the applicant must secure at least three (3) samples of rent for housing units located in the specific community and zip code of the desired housing that meet the needs of eligible, recently released incarcerated veterans.  If a veteran recently released from incarceration can obtain housing by any other means, such as through other federal or state programs, then HVRP grant funds cannot be used for such housing assistance.  A grant recipient must have a standard operating procedure (SOP) in place to ensure this process is implemented and executed consistently and equitably. Temporary shelter is defined as a person living in a supervised public or privately operated shelter designed to provide temporary living arrangements. QtrLastTempShelt
Asian Enter Yes if the participant self-identifies as having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. Asian
Episodic Homelessness Select Yes if the veteran is homeless (not At Risk of Homelessness) and has been homeless continuously for at least one year or has experienced at least four episodes of homelessness in the last 3 years with a combined length of time homeless of at least 12 months. Refer to the HVRP Participant Eligibility VPL for the full definition of "Episodic Homeless" EpisHomeless
On-the-Job Training (OJT): Date Last Provided Enter the date the Participant last received On-the-Job (OJT) training. OJT is training by an employer that is provided to a paid participant and (a) provides knowledge or skills essential to performance of the job; and/or (b) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant. This includes costs of providing the training and additional supervision related to the participant and takes into account the content of the training, the prior work experience of the participant, and the service strategy of the participant. In the OJT agreement, there is a promise on the part of the employer to hire the trainee upon successful completion of the training. DtLastTrn6
Transitional Job: Date Last Provided Refers to a vocational rehabilitation program that places people with barriers to employment, in paid entry-level job in competitive working surroundings to attain the abilities and experience required to, at some point, attain a lasting job in the community workforce. QtrLastTransJob
Black or African American Enter Yes if the participant self-identifies as a person that is Black or African American, having origins in any of the Black racial groups of Africa. BlkOrAfAmer
Homeless With Children Select Yes if the veteran is homeless (not At Risk of Homelessness) and has children. VETS uses the definition of “child” at 38 USC 101(4). HlessWfam
OJT: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs6
Transportation: Date Last Provided QtrLastTransportation
Native Hawaiian or Pacific Islander Enter Yes if the participant self-identifies as a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. NtvHawOrPacIsl
Incarcerated Veteran Eligible Select Yes if the veteran is At Risk of Homeless due to recent release from incarceration or transitioning from incarceration. Refer to the HVRP Participant Eligibility VPL for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" IvtpElig
Other Training: Date Last Provided Enter the date the Participant last received Other training. Other Training refers to any type of relevant employment-based training service NOT listed above. Grant recipients provide training that is targeted to the specific industries, occupations, and skills that are in demand locally. Job driven training must enable a participant to become employable or seek a higher grade of employment. Training services can be provided through the local American Job Center, in-house, or through partners in the community, including VA Compensated Work Therapy (CWT). DtLastTrn7
Work Attire/Tools/Equipment: Date Last Provided QtrLastTools
White Enter Yes if the participant self-identifies as a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. White
Service Delivery Area (SDA) Exception Is the participant receiving services under a Service Delivery Area (SDA) exception? If providing services in a Federally Declared Major Disaster Area outside the grant's SDA, you must enter "SDA Exception" = Yes and comply with requirements found in VPL 05-19 Exception for the Provision of Emergency Services by HVRP Grantees Outside of their Approved SDA. SDA
Other Training: # of Hours Provided this Quarter Select the range of training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs7
Other Service: Date Last Provided Other Service refers to any type of relevant service NOT listed in this document. QtrLastOthSupSvc
Disability Status Select Special Disabled if the participant is (A) a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary for a disability rated at 30 percent or more, or (ii) rated at 10 or 20 percent in the case of a veteran who has been determined under section 3106 of this title to have a serious employment handicap; or (B) a person who was discharged or released from active duty because of service-connected disability.​ Select Disabled if the participant is (A) a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary, or (B) a person who was discharged or released from active duty because of a service-connected disability.​ Select “No” or leave blank if the participant does not meet any one of the conditions described above. Disabled
Service Delivery State/Territory Select the State/Territory most applicable to the Participant at the time of enrollment. Select only those states/territories from the approved SDA for this grant unless an SDA exception is specified. State
0
Last Branch of Military Service Enter the Last Branch of Military Service. LastMilSvcBranch
Service Delivery County Enter the name of the County most applicable to the Participant at the time of enrollment. Grant Recipients may only provide services in their grant-approved SDA counties unless an SDA exception is specified.

Military Entry Date The date the veteran entered military service as indicated in the DD214. MilSvcEntryDate
Service Delivery City Enter the name of the City most applicable to the Participant at the time of enrollment. City
Military Discharge Date The date the veteran was discharged from military service as indicated in the DD214. MilSvcDischargeDate
Service Delivery Zip Code (5 digits) Input the participant's 5-digit zip code at the time of enrollment. Zip
Military Discharge Status Select the participant's military discharge status. The DD 214 must have a Service Characterization of anything other than dishonorable to be considered a veteran. Value options include: 1=Honorable or “Under honorable conditions", 2=General under Honorable Conditions, 3=Other than Honorable (OTH), 4=Bad Conduct (BCD), 5=Entry Level (ELS) or Non-Characterized . DischargeStatus
Housing Status at Enrollment Select the participant's housing status as of the date of enrollment. • Unsheltered Homeless: living in a place not designed or ordinarily used as a regular sleeping accommodation for humans. • Sheltered Homeless/Temporary Supportive Housing: living in emergency shelters and transitional housing projects. Temporary Supportive Housing or Transitional Housing provides interim stability and support to successfully move to and maintain permanent housing. • Permanent Supportive Housing: living in subsidized housing with supportive services for the residents to enable them to live as independently as is practicable throughout the duration of their residence. Includes HUD VASH Rapid Re-housing program. • Permanent Housing: participant is the tenant on a lease for a term of at least one year that is renewable and is terminable only for cause. The lease must be renewable for terms that are a minimum of one month long. HouseStatus
Period of Military Service Select the era that best represents when the participant served in the Armed Forces. • Gulf War Era II (Sep 2001 - present) • Gulf War Era I (Aug 1990 - Aug 2001) • Other Service Period: after Vietnam Era & before Gulf War Era I (May 1975 - Jul 1990) • Vietnam Era (Aug 1964 - Apr 1975) • Other Service Period: after Korean War & before Vietnam Era (Feb 1955 - Jul 1964) • Korean War (Jul 1950 - Jan 1955) • Other Service Period: after WWII & before Korean War (Jan 1947 - Jun 1950) • World War II (Dec 1941 - Dec 1946) ERA
Employment History: # of Weeks (non-consecutive) Unemployed within the Past 6 Months (0-26) Enter the approximate number of weeks, within the past six months from the date of enrollment, that the participant was unemployed. Entries must be between 1 (7 days) to a maximum of 26 (182 days). Unemployed means If the participant was unemployed for a period of less than 7 days, or not unemployed at all, enter 0. EmpHisWeeks
0
Use the Living Wage Calculator (https://livingwage.mit.edu/) to find the living wage for the participant's service delivery county. Input the living hourly rate shown for the county based on 1 adult and the participant's number of dependent children. The calculator shows the hourly rate that an individual in a household must earn to support his or herself and their family. The assumption is the sole provider is working full-time (2080 hours per year). Living Wage Calculator Service Delivery County Living Wage - Hourly Rate (use Living Wage Calculator) Use the Living Wage Calculator (https://livingwage.mit.edu/) to find the living wage for the participant's service delivery county. Input the living wage hourly rate shown for the county based on 1 adult and the participant's number of dependent children (min=0 to max=3). The calculator shows the hourly rate that an individual in a household must earn to support his or herself and their family. The assumption is the sole provider is working full-time (2080 hours per year). SDCLWRate
The MIT Living Wage Calculator (https://livingwage.mit.edu/) displays the hourly rate that an individual must earn to support self or family. It assumes a sole provider is working full-time (2080 hours per year). Employment History at Enrollment: # of Weeks (non-consecutive) Employed Below County Living Wage within the Past 6 Months (0-26) Enter the approximate number of weeks, within the past six months from the date of enrollment, that the participant was earning an hourly wage below the living wage for the participant’s service delivery county. Entries must be between 1 (7 days) to a maximum of 26 (182 days). If the participant was earning an hourly wage below the county living wage for a period of less than 7 days, or not at all, enter 0. EmpEnrWeeks
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Sheet 4: Participant Info

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N/A Any blank fields will be considered a "No" for that participant. Participant Information Enrollment Information Training Services Exit Placement Follow-Up Miscellaneous Calculated Columns












Participant ID
Auto-Populated

OPTIONAL
Grantee Participant ID Enter organizational or system identifier
Participant Last Name First 4 Letters
Participant First Initial
Participant Middle Initial
Date of Birth Highest Education Level
At Enrollment
Sex
(Assigned at Birth)
Gender Identity Sexual Orientation
Ethnicity
American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Disability Status
Last Branch of Military Service Military Entry Date Military Discharge Date Military Discharge Status Period of Military Service Service Start Date
Carry-Over <Program Year Start
Co-Enrolled in American Job Center (AJC)
Date Received First Service with American Job Center (AJC)
Co-Enrolled in FEMA
Co-Enrolled in VA's Grant and Per Diem (GPD)
Co-Enrolled in Supportive Services for Veteran Families (SSVF)
Co-Enrolled in SSVF-Shallow Subsidy
Co-Enrolled in Native American Housing Assistance & Self-Determination Act (NAHASDA)
Co-Enrolled in Veterans Affairs Supportive Housing (VASH)
At Risk of Homelessness

Homeless

Episodic Homelessness

Homeless With Children

Eligible Incarcerated Veteran
Service Delivery Area (SDA) Exception

Service Delivery State Service Delivery County Service Delivery City Service Delivery Zip Code
5 Digits
Housing Status at Enrollment Employment History: # of Weeks (non-consecutive) Unemployed within the Past 6 Months (0-26) Service Delivery County Living Wage - Hourly Rate (use Living Wage Calculator) Employment History at Enrollment: # of Weeks (non-consecutive) Employed Below County Living Wage within the Past 6 Months (0-26) Date of First Training Apprenticeship: Date Last Provided Apprenticeship: # of Hours Provided this Quarter Career Technical Training: Date Last Provided Career Technical Training: # of Hours Provided this Quarter Customized Training: Date Last Provided Customized Training: # of Hours Provided this Quarter Entrepreneurial Training: Date Last Provided Entrepreneurial Training: # of Hours Provided this Quarter Occupational Skills Training: Date Last Provided Occupational Skills Training: # of Hours Provided this Quarter On-the-Job Training (OJT): Date Last Provided OJT Training: # of Hours Provided this Quarter Other Training: Date Last Provided Other Training: # of Hours Provided this Quarter Accommodations for Persons with Disabilities: Date Last Provided Child/Dependent Care: Date Last Provided Drug & Alcohol Counseling: Date Last Provided Educational Supplies & Fees: Date Last Provided Employment Adjustment Services: Date Last Provided Financial Counseling: Date Last Provided Health Care Service: Date Last Provided Job Readiness Training: Date Last Provided Job Search Assistance: Date Last Provided Legal Aid Services: Date Last Provided Temporary Shelter/Housing Assistance: Date Last Provided Transitional Job: Date Last Provided Transportation: Date Last Provided Work Attire/Tools/ Equipment: Date Last Provided Other Service: Date Last Provided Service End Date
Housing Status at Exit Occupation of Placement Hourly Wage at Placement
Employment Placement Type Date Last Provided Follow-Up Service Total # of Hours Worked in 1st Quarter After Exit
Total # of Hours Worked in 2nd Quarter After Exit
Occupation 2nd Quarter After Exit Hourly Wage in 2nd Quarter After Exit Total # of Hours Worked in 3rd Quarter After Exit
Hourly Wage in 3rd Quarter After Exit Total # of Hours Worked in 4th Quarter After Exit
Occupation 4th Quarter After Exit Hourly Wage in 4th Quarter After Exit Placed in Employment

Enrollment Quarter
Blank= Carryover
Carryover

Exit Date Exit Quarter LGBTQIA+ Multiracial

Age
At Enrollment
Last Military Service
# Years Ago
Eligible for VA Health Care & Benefits
(based on Military Discharge Status)
Date First Provided Training Service Date Last Provided Training Service
Earnings in 2nd Quarter After Exit
Earnings for 3rd Quarter After Exit
A unique ID auto-generated from grant#, name fields, age, and military enlistment date. ParticipantID OptionalID Enter only the first four letters of the participant's last name. If less than four letters, use "x" as a placeholder as needed until reaching four characters. LastName FirstName Enter "X" if no middle initial. Intitial Please input the participant's date of birth. DOB Enter the Highest Education Level at the time of enrollment: • Attained secondary school diploma • Attained a secondary school equivalency • Completed one of more years of postsecondary education • Attained a postsecondary technical or vocational certificate (non-degree) • Attained an Associate's degree • Attained a Bachelor's degree • Attained a degree beyond a Bachelor's degree No Educational Level Completed HighestEdLvl Please indicate the participant's sex assigned at birth (e.g. what is listed on the participant's birth certificate). SAB • Select Male if the participant identifies as male. • Select Female if the participant identifies as female. • Select Non-Binary if the participant identifies as a gender that is not male or female, a gender outside the binary, no gender, more than one gender, a culturally specific gender, or a gender that changes over time (e.g., non-binary, genderfluid, agender). • Select Transgender if the participant identifies with a transgender history, experience, or identity. • Select Another Gender Identity if the participant is unsure, exploring, or may not relate to or identify with a gender identity at this time. • Select Participant Did Not Identify if the participant opted not to identify a gender. Gender • Select Straight/Heterosexual if the participant identifies as straight/heterosexual. • Select Gay or Lesbian if the participant identifies as gay, lesbian, or homosexual. • Select Bisexual if the participant identifies as bisexual. • Select Another Sexual Orientation if the participant identifies as another sexual orientation not described above or is questioning or unsure. Select Participant Did Not Identify if the participant opted not to identify a sexual orientation. Orient Select Hispanic or Latino if the participant self-identifies as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race. Ethnicity Enter Yes if the participant self-identifies with any of the original peoples of North, Central, and South America (including Central America). It includes people who identify as “American Indian” or “Alaska Native”. AmIndOrAkNtv Enter Yes if the participant self-identifies as having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. Asian Enter Yes if the participant self-identifies as a person that is Black or African American, having origins in any of the Black racial groups of Africa. BlkOrAfAmer Enter Yes if the participant self-identifies as a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. NtvHawOrPacIsl Enter Yes if the participant self-identifies as a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. White Select Special Disabled if the participant is (A) a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary for a disability rated at 30 percent or more, or (ii) rated at 10 or 20 percent in the case of a veteran who has been determined under section 3106 of this title to have a serious employment handicap; or (B) a person who was discharged or released from active duty because of service-connected disability.​ Select Disabled if the participant is (A) a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary, or (B) a person who was discharged or released from active duty because of a service-connected disability.​ Select “No” or leave blank if the participant does not meet any one of the conditions described above. Disabled Enter the Last Branch of Military Service. LastMilSvcBranch The date the veteran entered military service as indicated in the DD214. MilSvcEntryDate The date the veteran was discharged from military service as indicated in the DD214. MilSvcDischargeDate Select the participant's military discharge status. The DD 214 must have a Service Characterization of anything other than dishonorable to be considered a veteran. Value options include: • Honorable or “Under honorable conditions" • General under Honorable Conditions • Other than Honorable (OTH) • Bad Conduct (BCD) • Entry Level (ELS) or Non-Characterized DischargeStatus Select the era that best represents when the participant served in the Armed Forces. • Gulf War Era II (Sep 2001 - present) • Gulf War Era I (Aug 1990 - Aug 2001) • Other Service Period: after Vietnam Era & before Gulf War Era I (May 1975 - Jul 1990) • Vietnam Era (Aug 1964 - Apr 1975) • Other Service Period: after Korean War & before Vietnam Era (Feb 1955 - Jul 1964) • Korean War (Jul 1950 - Jan 1955) • Other Service Period: after WWII & before Korean War (Jan 1947 - Jun 1950) • World War II (Dec 1941 - Dec 1946) ERA This is the oldest (first) date amongst the service/training date fields. It represents the date the participant first received qualified (i.e., not self-service, informational, or follow-up) grant-funded services or benefits. If a carry-over, enter the first date served (prior to current Program Year). SvcStartDate The participant is co-enrolled in Wagner-Peyser Act, Jobs for Veterans State Grant, and/or Workforce Innovation and Opportunity Act services via an American Job Center (AJC). If the participant refused to be co-enrolled in AJC program, the participant's case file must include documentation of when the grantee offered to co-enroll the participant and why the participant rejected AJC services. CoEnrAjc Enter the date the Participant first received a Wagner-Peyser Employment Service, a Jobs for Veterans State Grant (JVSG) Disabled Veterans Outreach Program (DVOP) service, and/or any other Workforce Innovation and Opportunity Act (WIOA) service at the American Job Center (AJC). The date of first service must be within the grant's period of performance. AjcDate2 CoEnrFema CoEnrGpd CoEnrSsvf CoEnrSsvfSs CoEnrNahasda Received a VA supported housing voucher through Veterans Affairs Supportive Housing (VASH) program. CoEnrVash An individual may be either at risk for homelessness or homeless, but not both at once. Select Yes if the participant, who at program entry, is at risk of homelessness within the next 60 days and meets the following criteria: • has income below 30 percent of the median income for the geographic area; • has insufficient resources immediately available to attain housing stability; and ○ has moved frequently because of economic reasons; ○ is living in the home of another because of economic hardship; ○ has been notified that their right to occupy their current housing or living situation will be terminated; ○ lives in a hotel or motel; ○ lives in severely overcrowded housing; ○ is exiting an institution; or ○ otherwise lives in housing that has characteristics associated with instability and an increased risk of homelessness. This also includes participants enrolled as "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration". Refer to the HVRP Participant Eligibility VPL for the full definition of "At Risk of Homelessness". AtRisk Select "Yes" if the participant is homeless (to include those who found housing during the 60-day period preceding the date of enrollment). A veteran is homeless when: • They lack fixed, regular, and adequate nighttime residence; • They have a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings, including a car, park, abandoned building, bus, or train station, airport, or camping ground; • They live in a supervised public or privately operated shelter designed to provide temporary living arrangements; • They resided in a shelter or place not meant for human habitation and who is exiting an institution where they temporarily resided; • They will imminently lose their housing, has no subsequent residence identified, and who lacks the resources or support network needed to obtain other permanent housing (see additional requirements); • They have homeless families with children and youth defined as homeless under other federal statutes who have experienced a long period without permanent housing; have experienced persistent instability as measured by frequent moves over such period; and can be expected to continue in such status for an extended period of time because chronic disabilities, chronic physical health or mental health conditions, substance addiction, histories of domestic violence or childhood abuse, the presence of a child or youth with a disability, or multiple barriers to employment; • They are fleeing, or attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions in the individual's or family's current housing situation, including where the health and safety of children are jeopardized, and who have no other residence and lack the resources or support network to obtain other permanent housing. Refer to the HVRP Participant Eligibility VPL for the full definition of "Homelessness". Homeless Select Yes if the veteran is homeless (not At Risk of Homelessness) and has been homeless continuously for at least one year or has experienced at least four episodes of homelessness in the last 3 years with a combined length of time homeless of at least 12 months. Refer to the HVRP Participant Eligibility VPL for the full definition of "Episodic Homeless" EpisHomeless Select Yes if the veteran is homeless (not At Risk of Homelessness) and has children. VETS uses the definition of “child” at 38 USC 101(4). HWVHVWC Select Yes if the veteran is At Risk of Homeless due to recent release from incarceration or transitioning from incarceration. Refer to the HVRP Participant Eligibility VPL for the definition of "Veterans Transitioning from Incarceration" and "Recently Released from Incarceration" IvtpElig Is the participant receiving services under a Service Delivery Area (SDA) exception? If providing services in a Federally Declared Major Disaster Area outside the grant's SDA, you must enter "SDA Exception" = Yes and comply with requirements found in VPL 05-19 Exception for the Provision of Emergency Services by HVRP Grantees Outside of their Approved SDA. SDA Select the State/Territory most applicable to the Participant at the time of enrollment. Select only those states/territories from the approved SDA for this grant unless an SDA exception is specified. State Enter the name of the County most applicable to the Participant at the time of enrollment. Grant Recipients may only provide services in their grant-approved SDA counties unless an SDA exception is specified. County Enter the name of the City most applicable to the Participant at the time of enrollment. City Input the participant's 5-digit zip code at the time of enrollment. Zip Select the participant's housing status as of the date of enrollment. • Unsheltered Homeless: living in a place not designed or ordinarily used as a regular sleeping accommodation for humans. • Sheltered Homeless/Temporary Supportive Housing: living in emergency shelters and transitional housing projects. Temporary Supportive Housing or Transitional Housing provides interim stability and support to successfully move to and maintain permanent housing. • Permanent Supportive Housing: living in subsidized housing with supportive services for the residents to enable them to live as independently as is practicable throughout the duration of their residence. Includes HUD VASH Rapid Re-housing program. • Permanent Housing: participant is the tenant on a lease for a term of at least one year that is renewable and is terminable only for cause. The lease must be renewable for terms that are a minimum of one month long. HouseStatus Enter the approximate number of weeks, within the past six months from the date of enrollment, that the participant was unemployed. Entries must be between 1 (7 days) to a maximum of 26 (182 days). Unemployed means If the participant was unemployed for a period of less than 7 days, or not unemployed at all, enter 0. EmpHisWeeks Use the Living Wage Calculator (https://livingwage.mit.edu/) to find the living wage for the participant's service delivery county. Input the living wage hourly rate shown for the county based on 1 adult and the participant's number of dependent children (min=0 to max=3). The calculator shows the hourly rate that an individual in a household must earn to support his or herself and their family. The assumption is the sole provider is working full-time (2080 hours per year). SDCLWRate Enter the approximate number of weeks, within the past six months from the date of enrollment, that the participant was earning an hourly wage below the living wage for the participant’s service delivery county. Entries must be between 1 (7 days) to a maximum of 26 (182 days). If the participant was earning an hourly wage below the county living wage for a period of less than 7 days, or not at all, enter 0. EmpEnrWeeks Enter the date the individual first received training. DtFirstTrn Enter the date the individual last received Apprenticeship training. DtLastTrn1 Select the range of Apprenticeship training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs1 Enter the date the Participant last received Career Technical training. Career Technical Training is any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading basic skills through courses such as remedial education, training in the primary language of persons with limited English language proficiency, or English as a second language training. DtLastTrn2 Select the range of Career Technical training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs2 Enter the date the Participant last received Customized training. A training program designed to meet the requirements of an employer who has entered into an agreement with a local workforce development area to hire individuals trained to the employer’s specifications. The training may occur at the employer’s site or may be provided by a training vendor to meet the employer’s requirements. Such training usually requires a commitment from the employer to hire a specific number of trainees who satisfactorily complete the training. DtLastTrn3 Select the range of Customized training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs3 Enter the date the Participant last received Entrepreneurial training. Training that provides an individual with the knowledge and skills to start and grow a business. DtLastTrn4 Select the range of Entrepreneurial training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs4 Enter the date the participant last received Occupational Skills Training. Includes both vocational education that provides individuals with the technical skills and information required to perform a specific job or group of jobs, and unpaid on-the-job training. DtLastTrn5 Select the range of Occupational Skills training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs5 Enter the date the Participant last received On-the-Job (OJT) training. OJT is training by an employer that is provided to a paid participant and (a) provides knowledge or skills essential to performance of the job; and/or (b) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant. This includes costs of providing the training and additional supervision related to the participant and takes into account the content of the training, the prior work experience of the participant, and the service strategy of the participant. In the OJT agreement, there is a promise on the part of the employer to hire the trainee upon successful completion of the training. DtLastTrn6 Select the range of OJT hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs6 Enter the date the Participant last received Other training. Other Training refers to any type of relevant employment-based training service NOT listed above. Grant recipients provide training that is targeted to the specific industries, occupations, and skills that are in demand locally. Job driven training must enable a participant to become employable or seek a higher grade of employment. Training services can be provided through the local American Job Center, in-house, or through partners in the community, including VA Compensated Work Therapy (CWT). DtLastTrn7 Select the range of Other training hours the Participant received in this reporting quarter. Round to the nearest whole hour. TrnHrs7 DtLastAccomDisab Childcare/Dependent Care - If HVRP funds were used to provide childcare services, the participant must meet the definition of homeless veterans with children, in accordance with 38 U.S.C. § 2021A, to expedite the reintegration of homeless women veterans and homeless veterans with children into the labor force. For the purposes of defining child or dependent, DOL/VETS uses the definition of “child” at 38 U.S.C. §101(4)(A). The use of grant funds for childcare services (allowable only to participants that meet the definition of a homeless veteran with children) is limited to 45 days, and the amount of assistance must be reasonable considering the average cost of childcare within the local community.  Grant recipients must have the use of funds for childcare services for these eligible participants in their budget narrative and must identify how they will exhaust other resources before identifying grant funds for this purpose. A grant recipient must provide proof of co-enrollment with the American Job Center (AJC) and refer homeless veterans with children participants to AJC partners, such as the Temporary Assistance for Needy Families (TANF) program or other federal benefit services, for childcare services. If a veteran with children can obtain funding for childcare services by any other means, such as through other federal or state programs, then HVRP grant funds cannot be used for such childcare costs.  A grant recipient must have a standard operating procedure (SOP) in place to ensure this process is implemented and executed consistently and equitably.  DtLastChildCare DtLastDrugAlcCouns DtLastEducFees Services designed to help a newly-employed veteran adjust to his or her new job and are considered part of the veteran employment plan. A career counselor or job coach typically provides these services during the first month or so of employment. He or she offers guidance on any issues the newly employed individual encounters, including areas such as the following: • Counseling to help the newly hired veteran adjust to new routines, schedules, and work environments; • Building relationships with co-workers; • Enhancing customer service skills; • Understanding and adapting to the company’s culture; and • Counseling to help the newly-employed veteran work through the job situations that she or he finds most troublesome. DtLastEmpAdjSvc Financial counseling may include: (i) supporting the ability of participants to create household budgets, initiate savings plans, and make informed financial decisions; (ii) supporting the ability to manage spending, credit, and debt, including credit card debt, effectively; (iii) increasing awareness of the availability, usage and significance of credit reports and scores in obtaining credit, and their effect on credit terms; (iv) supporting the ability to understand, evaluate, and compare financial products, services, and opportunities; and (v) supporting activities that address the particular financial literacy needs of non-English speakers, including providing the support through the development and distribution of multilingual financial literacy and education materials. DtLastFinCouns DtLastHealthCare Job Readiness Training prepares participants to seek or obtain employment, and to keep a job once hired. Training/instruction could be: Preparing a cover or thank you letter; Work-focused career exploration; Training in effective job seeking; or, Instruction in soft skills and workplace expectations, such as: Behavior on the job; Getting along with co-workers/boss; Being reliable and on-time; Filling out paperwork (for example, timesheets); Appropriate attire. DtLastJobRead An activity focusing on building practical skills, identifying and initiating employer contact, and conducting successful interviews with employers. Various approaches may include job club participation, identifying personal strengths and goals, résumé application preparation, interviewing techniques, and receiving labor market information. Job search assistance is often self-service activities where individuals obtain information about job openings. DtLastJobSrchAsst DtLastLegalSvcs If HVRP funds were used to provide Temporary Shelter or Housing Assistance, grant recipients must have the use of funds for housing assistance for these eligible participants in their budget narrative (an allowable cost only for recently released incarcerated veterans) and must identify how they will exhaust other housing options such as those offered by penal institutions, community-based housing providers, or other housing assistance options before identifying grant funds for this purpose.  The use of grant funds for housing assistance is limited to 90 days, and the amount of assistance must meet the test of rent reasonableness.  To meet this test and to be able to pay a landlord up to 90 days of reasonable rent, the applicant must secure at least three (3) samples of rent for housing units located in the specific community and zip code of the desired housing that meet the needs of eligible, recently released incarcerated veterans.  If a veteran recently released from incarceration can obtain housing by any other means, such as through other federal or state programs, then HVRP grant funds cannot be used for such housing assistance.  A grant recipient must have a standard operating procedure (SOP) in place to ensure this process is implemented and executed consistently and equitably. Temporary shelter is defined as a person living in a supervised public or privately operated shelter designed to provide temporary living arrangements. DtLastTempShelt Refers to a vocational rehabilitation program that places people with barriers to employment, in paid entry-level job in competitive working surroundings to attain the abilities and experience required to, at some point, attain a lasting job in the community workforce. DtLastTransJob DtLastTransportation DtLastTools Other Service refers to any other type of relevant supportive service NOT listed in this document. DtLastOthSupSvc The date represents the final date the participant received services that are not self-service, information-only, or follow up services. SvcEndDate Select the participant's housing status at exit (Service End Date). • Unsheltered Homeless: living in a place not designed or ordinarily used as a regular sleeping accommodation for humans. • Sheltered Homeless/Temporary Supportive Housing: living in emergency shelters and transitional housing projects. Temporary Supportive Housing or Transitional Housing provides interim stability and support to successfully move to and maintain permanent housing. • Permanent Supportive Housing: living in subsidized housing with supportive services for the residents to enable them to live as independently as is practicable throughout the duration of their residence. Includes HUD VASH Rapid Re-housing program. • Permanent Housing: participant is the tenant on a lease for a term of at least one year that is renewable and is terminable only for cause. The lease must be renewable for terms that are a minimum of one month long. HouseExit Select the most appropriate category for the employment placement: • Administrative (office, finance, legal, or business-related jobs) • Customer Service (sales, retail, cashiers) • Driver (includes long-haul and local delivery) • Education (teachers, para-educators, education administration) • Food Service • Healthcare (medical assistant, nurse, technician) • Information Technology (programmer, developers, computer operator) • Vocational/Technical (construction, production, installation, repair, farming, fishing) • Other • Participant Not Placed into Employment PlaceJob If the Participant is employed, enter the Hourly Wage at the time of placement. Leave blank if Participant was Not Placed into Employment. HrlyWgPlmt Select the most appropriate employment type for the placement: • Full-Time (average of ≥ 30 hours per week) • Part-Time (average of < 30 hours per week) • Gig work (1099/ non-W2 work; hours on-demand) Leave blank if Participant was Not Placed into Employment. PlaceEmpType Grant recipients will provide post-exit follow-up services to participants enrolled and placed during the current period of performance (PoP), for four quarters after exit, to increase the participant’s success in employment retention. The following are examples of follow-up services: • Additional career planning; • Contacting the employer; • Assisting with work-related problems; • Peer support groups; • Informational mailings; • Co-enrolled partner services for job retention; • Follow-up tracking services; and • Provision of post-exit support services for job retention. Examples may include referrals for supportive services, incentives, work clothing, transportation assistance, etc. FlwUpDate2 Enter the total number of hours worked for the 13 weeks of the reporting quarter. 520 hours= full-time employment the entire quarter. Hours1Qae2 Enter the total number of hours worked for the 13 weeks of the reporting quarter. 520 hours= full-time employment the entire quarter. Hours2Qae Select the most appropriate category for the type of employment in the 2nd quarter after exit: • Administrative (office, finance, legal, or business-related jobs) • Customer Service (sales, retail, cashiers) • Driver (includes long-haul and local delivery) • Education (teachers, para-educators, education administration) • Food Service • Healthcare (medical assistant, nurse, technician) • Information Technology (programmer, developers, computer operator) • Vocational/Technical (construction, production, installation, repair, farming, fishing) • Other • Participant is Not Employed 2QJob If the Participant is employed, enter the Hourly Wage in the 2nd quarter after exit. Leave blank if Participant was Not Placed into Employment. HrlyWg2Qae Enter the total number of hours worked for the 13 weeks of the reporting quarter. 520 hours= full-time employment the entire quarter. Hours3Qae If the Participant is employed, enter the Hourly Wage in the 3rd quarter after exit. Leave blank if Participant was Not Placed into Employment. HrlyWg3Qae Enter the total number of hours worked for the 13 weeks of the reporting quarter. 520 hours= full-time employment the entire quarter. Hours4Qae Select the most appropriate category for the type of employment in the 4th quarter after exit: • Administrative (office, finance, legal, or business-related jobs) • Customer Service (sales, retail, cashiers) • Driver (includes long-haul and local delivery) • Education (teachers, para-educators, education administration) • Food Service • Healthcare (medical assistant, nurse, technician) • Information Technology (programmer, developers, computer operator) • Vocational/Technical (construction, production, installation, repair, farming, fishing) • Other • Participant is Not Employed 4QJob Enter the total number of hours worked for the 13 weeks of the reporting quarter. 520 hours= full-time employment the entire quarter. HrlyWg4Qae Indicates if a Participant was Placed into Employment (1=Yes; blank=No). PlacedInEmp Indicates the Participant's enrollment quarter based on the Service Start Date EnrollQtr An HVRP participant whose enrollment continued or "carried over" into the following program year. Any individual who is showing as not exiting the grantee’s program by the last day of the program year must continue to receive services to be (1) carried over to the next program year; or (2) exited from the grantee’s program. CarryOver This will populate with the Last Service Date once 90 days have elapsed since that date. ExitDate ExitQtr The participant identified a sex (assigned at birth), gender identity, and/or sexual orientation that aligns with LGBTQIA+. LGBTQIA+ Multiracial Age LastMilSvc Indicates if a Participant is eligible to receive VA health care and benefits (based on military discharge status. (Yes = Honorable or General; No = Other than Honorable, Bad Conduct, or Entry Level or Non-Characterized). VAElig DtFirstTrain DtLastTrain 2nd Qtr Hours * 2 Qtr Hourly Wage Earnings2Qae 3rd Qtr Hours * 3rd Qtr Hourly Wage Earnings3Qae
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Sheet 5: Demographics Summary

All figures are auto-calculated and derived from the
Participant Info worksheet.





















Demographic Attribute Enrolled_Q1 Exited_Q1 Employed_Q1 Average_Wage_Q1 Enrolled_Q2 Exited_Q2 Employed_Q2 Average_Wage_Q2 Enrolled_Q3 Exited_Q3 Employed_Q3 Average_Wage_Q3 Enrolled_Q4 Exited_Q4 Employed_Q4 Average_Wage_Q4 Enrolled_Total Exited_Total Employed_Total Placement_Rate_Total Average_Wage_Total
Male (Sex Assigned at Birth) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Female (Sex Assigned at Birth) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Intersex 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
LGBTQIA+ 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Hispanic or Latino 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Not Hispanic or Latino 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
American Indian or Alaska Native (Duplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Asian (Duplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Black or African American (Duplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Native Hawaiian or Pacific Islander (Duplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
White (Duplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
American Indian or Alaska Native (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Asian (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Black or African American (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Native Hawaiian or Pacific Islander (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
White (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Multiracial (Unduplicated) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Disabled or Special Disabled 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 18-24 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 25-29 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 30-34 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 35-44 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 45-54 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 55-64 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 65-74 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Age Group 75+ 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 0-3 Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 4-7 Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 8-11 Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 12-15 Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 16-19 Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Discharged 20+ Years Ago 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Episodically Homeless 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Homeless with Children 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Homeless Women 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Homeless (not Episodically or with Children) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
At-Risk of Homelessness 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
At Risk Recently Released or Transitioning from Incarceration 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Air Force 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Army 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Coast Guard 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Guard/Reserves 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Marines 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Navy 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Space Force 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained secondary school diploma 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained a secondary school equivalency 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Completed one of more years of postsecondary education 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained a postsecondary technical or vocational certificate (non-degree) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained an Associate's degree 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained a Bachelor's degree 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Attained a degree beyond a Bachelor's degree 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
No Educational Level Completed 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Eligibile for VA Health Care and Benefits 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Gulf War Era II (September 2001 - present) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Gulf War Era I (August 1990 - August 2001) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Other Service Period: after Vietnam Era & before Gulf War Era I (May 1975 - July 1990) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Vietnam Era (August 1964 - April 1975) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Other Service Period: after Korean War & before Vietnam Era (February 1955 - July 1964) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Korean War (July 1950 - January 1955) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
Other Service Period: after WWII & before Korean War (January 1947 - June 1950) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00
World War II (December 1941 - December 1946) 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.0% 0.00


Sheet 6: Goals v. Actual

Accessibility Key: All figures are auto-calculated and derived from the Participant Info worksheet. Goals vs. Actuals Table 0 0
0
Performance Measures Q1_Planned Q1_Actual Q1_Deviation Q2_Planned Q2_Actual Q2_Deviation Q2Cum_Planned Q2Cum_Actual Q2Cum_Deviation Q3_Planned Q3_Actual Q3_Deviation Q3Cum_Planned Q3Cum_Actual Q3Cum_Deviation Q4_Planned Q4_Actual Q4_Deviation Q4Cum_Planned Q4Cum_Actual Q4Cum_Deviation Q5_Planned Q5_Actual Q5_Deviation Q5Cum_Planned Q5Cum_Actual Q5Cum_Deviation Q6_Planned Q6_Actual Q6_Deviation Q6Cum_Planned Q6Cum_Actual Q6Cum_Deviation Q7_Planned Q7_Actual Q7_Deviation Q7Cum_Planned Q7Cum_Actual Q7Cum_Deviation Q8_Planned Q8_Actual Q8_Deviation Q8Cum_Planned Q8Cum_Actual Q8Cum_Deviation Total_Planned Total_Actual Total_Deviation
# of Participants Enrolled Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
# Exited Participants Placed into Employment Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% 0 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
Average Hourly Wage at Placement Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
Placement Rate Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
# of Participants Exited Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
Placement Rate of Exiters who were Episodically Homeless (PoP Year 2 and Year 3 grantees only) Err:520 Err:520 0.0% Err:520 Err:520 0.0% 0.0% Err:520 0.0% Err:520 Err:520 0.0% 0.0% Err:520 0.0% Err:520 Err:520 0.0% 0.0% Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 0.0% Err:520 0.0%
Cost Per Placement (PoP Year 1 grantees only) Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 $0 0.0% Err:520 Err:520 0.0% Err:520 $0 0.0% Err:520 Err:520 0.0% Err:520 $0 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 $0 0.0%
% of Enrollments Trained 0.8 Err:520 0.0% 0.8 Err:520 0.0% 0.8 Err:520 0.0% 0.8 Err:520 0.0% 0.8
0.0% 0.8 Err:520 0.0% 0.8
0.0%

0.0%

0.0%

0%

0%

0%

0%

0%

0% 80% 0% 0.0%
Employment Rate 2nd Qtr After Exit N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
Median Earnings 2nd Qtr After Exit N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0%
Employment Rate 4th Qtr After Exit N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0%
Direct Costs Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 $0.00 0.0% Err:520 Err:520 0.0% Err:520 $0.00 0.0% Err:520 Err:520 0.0% Err:520 $0.00 0.0% Err:520 Err:520 0 0 $0.00 0 Err:520 Err:520 0 0 $0.00 0 Err:520 Err:520 0 0 $0.00 0 Err:520 Err:520 0 0 $0.00 0 Err:520 $0.00 0.0%
Indirect Costs Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0.0%
Total Actual Expenditures & Obligations Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0.0% Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0 0 Err:520 0 Err:520 Err:520 0.0%
0

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