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["INDIAN AND NATIVE AMERICAN YOUTH PROGRAM"]
["(including youth served under the American Recovery and Reinvestment Act)"]
[]
[]
[{"$nulls":7},"OMB Control No: 1205-0422                                           Expires    12  /  31 /  2009       "]
["SECTION I - Grantee Identifying Information"]
["  Grantee Name and Address:",{"$nulls":6}," Grant Number:"]
[" ___________________________________________________________________________________",{"$nulls":6}," Report End Date: "]
[{"$nulls":7},"  _______ / _______ / _________"]
[]
[{"$nulls":4},"Previous Period\n(A)",null,"Current Period\n(B)",null,"Program-to-Date \n(C)"]
["SECTION II - Participation / Exiter Summary - [Enter participants who enrolled in the program and Exited during the program year.]"]
["1.  Total Participants"]
[null,"a.  Participation in Summer Employment"]
["2.  Total Exiters"]
[null,"a.  Summer Employment Exiters"]
["3.  Total Current Participants"]
["SECTION III -  Participant Characteristics Summary - [Enter characteristics of participants at enrollment]"]
["Gender","4.  Male"]
[null,"5.  Female"]
["Education","6.  High School / Pre-High School Student"]
[null,"7.  High School Graduate or Equivalent"]
[null,"8.  Post High School Student"]
[null,"9.  School Dropout"]
[null,"10. Pregnant and/or Parenting Youth"]
["Barriers","11.  Offender"]
[null,"12.  Foster Child"]
[null,"13.  Public Assistance Recipient"]
[null,"14.  Basic Skills Deficiency"]
[null,"15.  Individual With Disability"]
["School Status","16.  In-school youth"]
[null,"17.  Out-of-school youth"]
["Age","18.  14 - 18 "]
[null,"19.  19 - 21"]
[null,"20.  22 - 24 (Recovery Act Participants Only)"]
["VETS","21. Eligible Veterans"]
[]
["SECTION IV - Participant Goals and/or Attainments Summary - [Enter goals attained after receiving program services]"]
["22.  Completed Work Readiness"]
["23.  Completed Internship or Vocational Exploration Program"]
["24.  Completed Career Assesment"]
["25.  Entered Unsubsidized Employment (Including Military)"]
["26.  Remained in School"]
["27.  Returned to School Full Time"]
["28.  Enrolled in Job Corps"]
["29.  Improved Basic Skills by at Least Two Grade Levels"]
["30.  Attained High School Diploma"]
["31.  Attained GED"]
["32.  Completed Occupational Skills Training"]
["33.  Completed Leadership Skills Training"]
["34. Entered Other (Non-Supplemental Youth) Training Program"]
["35.  Successful Completion of Summer Employment"]
[]
["SECTION V.  Performance Outcomes / Performance",null,null,null,"Value","Numerator","Value","Numerator","Value","Numerator"]
[{"$nulls":5},"Denominator",null,"Denominator",null,"Denominator"]
["36.  Attainment of Two or More Goals"]
[]
["37.  Educational Attainment for Dropouts"]
[]
["SECTION VI. Recovery Act - Indicators of Performance",null,null,null,"Value","Numerator","Value","Numerator","Value","Numerator"]
[{"$nulls":5},"Denominator",null,"Denominator",null,"Denominator"]
["38.  Work Readiness Attainment Rate"]
[]
["39.  Summer Employment Completion Rate"]
[]
["Grantee Remarks"]
[]
[]
["Certification: I Certify that to the best of my knowledge and belief that this report is correct and complete for the purpose set forth in the Grant Agreement."]
["Name of Grantee Certifying Official:",null,null,null,"Telephone Number:",null,null,"Email:"]
{"$rows_empty":10}
[{"$nulls":7},"ETA Form 9085 (Rev. July 2009)"]