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["STANDARDIZED QUARTERLY PERFORMANCE REPORT"]
["RExO Youth Offender GRANT"]
["ETA - 9136",{"$nulls":6},"OMB No.",null,"1205-0513"]
["Report Due Date: mm/dd/yyyy",{"$nulls":6},"Expires:",null,"2016-09-30"]
["A.  GRANTEE IDENTIFYING INFORMATION"]
["Grantee Name:",{"$nulls":4},"Grant Number:"]
[]
["Program/Project Name:",{"$nulls":4},"Project or Sub-Project ID/Number:"]
[]
[{"$nulls":5},"Report Quarter End Date:"]
[]
["City ________________________________      State _________________",{"$nulls":4},"Enrollment Goal:"]
[null,"Performance Items","Current Quarter\n(A)",null,null,null,"Cumulative for Program Year\n(B)",null,null,null,"Program-to-Date \n(C)"]
[null,null,"17 & Under",null,"18 & Under",null,"17 & Under   ",null,"18 & Under",null,"17 & Under    ",null,"18 & Over"]
["B.  PARTICIPANT SUMMARY INFORMATION"]
["1.  Total Enrolled"]
["2.  Enrolled While Confined or Within 3 Months After Release/Probation"]
["3.  Direct Referral from Justice System"]
["Gender","4a.  Male"]
[null,"4b.  Female"]
["Ethnicity / Race","5a.  Hispanic/Latino"]
[null,"5b.  American Indian or Alaska Native"]
[null,"5c.  Asian"]
[null,"5d.  Black or African American"]
[null,"5e.  Hawaiian Native or Other Pacific Islander"]
[null,"5f.   White"]
[null,"       6a1. High School Student at Time of Arrest"]
[null,"       6a2. School Drop-out at Time of Arrest"]
[null,"       6a3. H.S. Graduate/GED at Time of Arrest"]
[null,"       6b1. High School Student at Time of  Enrollment"]
[null,"       6b2. School Drop-out at Time of Enrollment"]
[null,"       6b3. H.S. Graduate/GED at Time of Enrollment"]
[null,"       7a.   From Correctional Facility"]
["Education Status","       7b.   From Detention "]
[null,"       7c.   From Probation/Diversion"]
[null,"       8.     Basic Skills Deficient"]
[null,"       9.     Foster Youth"]
[null,"      10.    Parent of a Child"]
[null,"      11a.  Stable Housing"]
[" Other Demographics","      11b.  Temporary Housing"]
[null,"      11c.  Homeless"]
[null,"C. PROGRAM SERVICES, ACTIVITIES, AND OTHER RELATED ASSISTANCE"]
[null,"Performance Items","Current Quarter\n(A)\n",null,null,null,"Cumulative for Program Year\n(B)",null,null,null,"Program-to-Date \n(C)"]
[null,null,"17 & Below",null,"18 & Above",null,"17 & Below",null,"18 & Above",null,"17 & Below",null,"18 & Above"]
[null,null,"Value","Numerator","Value","Numerator","Value","Numerator","Value","Numerator","Value","Numerator","Value","Numerator"]
[null,null,null,"Denominator",null,"Denominator",null,"Denominator",null,"Denominator",null,"Denominator",null,"Denominator"]
[null,"1. Received Remediation, Tutoring, Academic Counseling, ESL"]
[]
[null,"2. Received Credit Retrieval Assistance"]
[]
[null,"3. Twilight, Continuation, or Alternative School"]
["Performance Items\n"]
[null,"4. High School Equivalency Instruction"]
[]
["Reading or Math Remediation","5. Vocational/Occupational Skills Classroom Training or OJT"]
[]
[null,"6. College Bound Activities "]
[]
[null,"7. Work Experience or Interrnship"]
[]
[null,"8. Work Readiness Training or Career/Life Skills Couseling"]
[]
[null,"9. Job Placement Services"]
[]
[null,"10. Leadership Development "]
[]
[null,"11. Community Service/Restorative Justice"]
[]
[null,"12. Mentoring"]
[]
[null,"13. Substance Abuse Treatment"]
[]
[null,"14. Supportive Services"]
[]
["Community Service","15. Received Any of the Above Services (Unduplicated)"]
[]
["Mentoring","D.  SHORT-TERM INDICATORS OF PERFORMANCE"]
[null,"Leading Indicators of Performance"]
[null,"Performance Items","\nCurrent Quarter\n(A)\n",null,null,null,"Cumulative for Program Year\n(B)",null,null,null,"Program-to-Date \n(C)"]
[null,null,"Value",null,"Numerator",null,"Value",null,"Numerator",null,"Value",null,"Numerator"]
[{"$nulls":4},"Denominator",null,null,null,"Denominator",null,null,null,"Denominator"]
[null,"1.  Enrollment Rate"]
["Follow-up Services"]
[null,"2a.  Participants Ages 17 and Below Who Return to School"]
["Received Any of the Above Services"]
[null,"2b. Participants Ages 17 and Below Who Remain in School 12 Months or More"]
["D.  SHORT-TERM INDICATORS OF PERFORMANCE"]
["Leading Indicators of Performance","2c.  Participants Ages 17 and Below Who Receive H.S. Diploma or Equivalency"]
[]
[null,"3a.  Out-of-School Participants Ages 18 and Above Placed in an Unsubsidized Job"]
[]
["1.  Enrollment Rate","3b.  Out-of-School Participants Ages 18 and Above Placed in Post-Secondary Education"]
[]
["2a.  Participants Ages 17 and Below Who Return to High School","3c.  Out-of-School Participants Ages 18 and Above Placed in Occupational Training Not Paid with DOL Funds "]
[]
["3b.  Out-of-School Participants Ages 18 and Above Placed in Post-Secondary Education","4a.  Basic Skills Deficient Participants  Who Increase at Least 1 Grade Level in Reading "]
[]
["3c.  Out-of-School Participants Ages 18 and Above Placed in Occupational Training Not Paid with DOL Funds ","4b.  Basic Skills Deficient Participants Who Increase at Least 1 Grade Level in Math "]
[]
[null,"5. Dismissal of Case after Diversion Program Participation"]
[]
[null,"6. Expungement of Juvenile Record for those Receiving Legal Services"]
[]
["3d. Out-of-School Participants Ages 18 and Above Placed in Unsubsidized Jobs, Post-Secondary Education, or Occupational Training ","E. LONG-TERM INDICATORS OF PERFORMANCE"]
[null,"Common Performance Measures"]
[null,"1.  Attainment of a Degree or Industry-Recognized Certificate (Age 18 & Above Only)"]
[]
["4.  Participants Ages 18 and Above Who Receive an industry-Recognized Credential, High Diploma, or GED","2.  Literacy and Numeracy Attainment"]
[]
[null,"3a. Out-of-School Participants Ages 18 and Above Placed in  Unsubsidized Jobs, Post-Secondary Education, or Occupational Training Not Paid with DOL Funds"]
[]
[null,"3b. Out-of-School Participants Ages 18 and Above Who Have Completed or Left the Program Placed in Unsubsidized Jobs, Post-Secondary Education, or Occupational Training "]
[]
["E. LONG-TERM INDICATORS OF PERFORMANCE","Additional Performance Measures"]
["Common Performance Measures\n","4.  Recidivism Rate at 12 Months for Participants Ages 17 and Below"]
["1.  Working or Attending School at 3-Month Follow-Up"]
[null,"5.  Recidivism Rate at 12 Months for Participants Ages 18 and Above   "]
["2.  Working or Attending School at 6-Month Follow-Up"]
[null,"6.  Working or Attending School at 3-Month Follow-Up"]
[]
[null,"7.  Working or Attending School at 6-Month Follow-Up"]
[]
[null,"8.  Working or Attending School at 9-Month Follow-Up"]
[]
[null,"9.  Working or Attending School at 12--Month Follow-Up"]
[]
[null,"10. Out-of-School Youth Attaining a Degree or Industry-Recognized Certificate "]
[]
[null,"11. Participants Ages 18 and Above Who Remain in School 12 Months or More"]
[]
[null,"12.  Participants Ages 18 and Above Who Receive a High School Diploma or Equivalency"]
[]
[null,"13.  Received Mentoring for at Least 6 Months"]
[]
[null,"14. Out-of-School Participants Ages 18 and Above Placed in Unsubsidized Jobs, Post-Secondary Education, Occupational Training Not Paid with DOL Funds, Returned to High School, or Placed in High School Equivalency Program."]
[]
[null,"15. Out-of-School Participants Ages 17 and Below Placed in Unsubsidized Jobs, Post-Secondary Education, Occupational Training Not Paid with DOL Funds, Returned to High School, or Placed in High School Equivalency Program."]
[]
[null,"16. Participants Who Have Exited the Program"]
[]
[null,"F. REPORT CERTIFICATION/ADDITIONAL COMMENTS"]
[null,"Grantee Remarks:"]
[]
["3.  Working or Attending School at 12--Month Follow-Up"]
[]
["Additional Performance Measures",{"$nulls":4},"Email:"]
[]
["4.  Recidivism Rate at 12 Months for Participants Ages 17 and Below","This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 1205-0513.  Persons are not required to respond to this collection of information unless it displays a currently valid OMB number.  Public reporting burden for this collection of information is estimated to average 20 hours per quarterly report per grantee, including time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of information.  Respondent’s obligation to reply is required to maintain benefits.  The reason for the collection of information is general program oversight, evaluation and performance assessment.  Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to the U. S. Department of Labor, Employment and Training Administration, Youth Office, Room N4459, 200 Constitution Avenue, NW, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0513)."]
["5.  Retention Rate at 12 Months for Participants Ages 18 and Above   "]
[]
["F. REPORT CERTIFICATION/ADDITIONAL COMMENTS"]
["Grantee Remarks:"]
[]
[]
[]
["Name of Grantee Certifying Official:"]
[]
["\n\n"]
["This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 1205-0455.  Persons are not required to respond to this collection of information unless it displays a currently valid OMB number.  Public reporting burden for this collection of information is estimated to average 16 hours per quarterly report per grantee, including time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of information.  Respondent’s obligation to reply is required to maintain benefits.  The reason for the collection of information is general program oversight, evaluation and performance assessment.  Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to the U. S. Department of Labor, Employment and Training Administration, Youth Office, Room N4459, 200 Constitution Avenue, NW, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0455)."]