Recommended Format for Common Measures Quarterly Technical Performance Report

PLEASE NOTE: If the entry shows as a red striked out figure, it is incorrect.
Please refer to directions and if there are still questions, please contact your GOTR.

Grantee Name: Homeless Veterans, Inc.
Grant #: E-9-5-x-xxxx

Period of Performance:
Qtr 1 PY 2006
Total Grant Award Amount:
$300,000.00

Enter All Data NON-Cumulatively
Quarters
Actual Performance:
# of Assessments
# of Participants Enrolled
# of Placed in Trans.or Perm Housing
# Referred to VA for Benefits
# Placed into Employment
Placement Rate (Auto Calc)
Cost Per Placement (Auto Calc)
# of Exiters (Common Measures)
*Retro from Prev Qtr ALL must be exited by end of 4th qtr

# of Entered Employments (Common Measures)
*Same as old 90 day retention (Auto entered from Spreadsheets)

Entered Employment Rate (Auto Calc)
# of Participants 90-Day Retention

1st
10
9
8
8
7

90 day Final
5th

180 day F/U
6th

270 day F/U
7th

2nd
15
12
7
7
8

3rd
12
10
6
9
9

4th
17
15
5
10
12

8

10

12

16

46

6
75%

7
70%

9
75%

12
75%

34
74%

6

6

7

*Same as old 180 day retention

Employment Retention (Common Measures)

4

Number Employed during 1st, 2nd and 3rd Qtr after Exit

Employment Retention Rate (Auto Calc)

67%
$8,534.50
$9.38

AVERAGE EARNINGS (AUTO CALC)
AVERAGE HOURLY WAGES (AUTO CALC)

Actual Training Activities:
Enter NON-Cumulatively
Unduplicated count of all Participants Trained
9
10
% of Participants Trained (Minimum 80%)
Class Room Training
1
3
On-the-Job Training
2
1
Occupational Skills Training
4
4
Apprenticeship Training
1
3
Upgrading and Retraining
1
2
Life Skills and Money Management
9
10
Other Training
2
1

4
57%
$9,165.00
$15.63

10
6
67%
$9,004.67
$10.08

Total
54
46
26
34
36
78%
$8,333.33

29
7
58%
$9,200.29
$10.43

21
62%
$8,976.11
$11.38

12

10

2
4
8
7
2
12
2

9
1
3
7
2
10
2

41
89%
15
8
19
18
7
41
7

15
15
15
1
2
15

46
46
46
7
16
46

$68,000
$5,000

$68,000
$5,000

$73,000

$73,000

$272,000
$20,000
$8,000
$300,000

Actual Supportive Services:
Job Search Assistance
Counseling/Vocational Guidance
Job Club Workshops
Compensated Work Therapy
Tools/Fees/Specific Work Clothing
Other Supportive Service

Enter NON-Cumulatively, NON-Duplicative
9
12
10
9
12
10
9
12
10
1
2
3
3
4
7
9
12
10

Actual Expenditures:
Participant Services
Administrative Costs (Not to Exceed 20%)
Stand Down (Not to Exceed $8K per year)
Total Expenditures

Enter NON-Cumulatively
$68,000
$68,000
$5,000
$5,000
$8,000
$81,000
$73,000

Revised: 1/16/07
Appendix D

For Those that EXIT during 1st Qtr

Part. #

Participant Name
1
2
3
4
5
6
7
8

Yes=1; No=0
Employed
1st qtr
after exit
(Entered
Employment)

Yes=1; No=0
Employed
2nd qtr
after exit
(90 Day F/U)
1
1
1
1
0
1
0
1

Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
2nd Qtr after
28, 36, 40 etc) $7.50, $9.00) exit qtr
1
38
$7.00
$3,458.00
1
36
$6.00
$2,808.00
1
40
$9.00
$4,680.00
1
40
$8.00
$4,160.00
0
$1
24
$9.00
$2,808.00
0
$1
40
$12.00
$6,240.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

Yes=1; No=0
Employed
3rd qtr
after exit
(Employment
Retention)

Quarterly Earnings
Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
3rd Qtr after
Employed
28, 36, 40 etc) $7.50, $9.00) exit qtr
ALL 3 Qtrs
1
40
$8.00
$4,160.00
1
38
$7.00
$3,458.00
0
$0
$$1
36
$9.50
$4,446.00
$1
40
$13.00
$6,760.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

2nd & 3rd Qtr
Earnings for those
Employed all 3 Qtrs
3
$7,618.00
3
$6,266.00
2
$2
$0
$3
$7,254.00
0
$3
$13,000.00
0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$-

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$6

6

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$4
Average Hourly Wage

$37.50
$9.38

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Earnings
Avg Earnings

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$34,138.00
$8,534.50

For Those that EXIT during 2nd Qtr

Part. #

Participant Name
1
2
3
4
5
6
7
8
9
10

Yes=1; No=0
Employed
1st qtr
after exit
(Entered
Employment)

Yes=1; No=0
Employed
2nd qtr
after exit
(90 Day F/U)
1
1
0
1
1
1
0
1
1
0

Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
2nd Qtr after
28, 36, 40 etc) $7.50, $9.00) exit qtr
1
28
$7.00
$2,548.00
1
36
$8.00
$3,744.00
0
$1
40
$9.00
$4,680.00
0
$1
40
$12.00
$6,240.00
0
$1
24
$11.50
$3,588.00
1
38
$10.00
$4,940.00
0
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

Yes=1; No=0
Employed
3rd qtr
after exit
(Employment
Retention)

Quarterly Earnings
Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
3rd Qtr after
Employed
28, 36, 40 etc) $7.50, $9.00) exit qtr
ALL 3 Qtrs
1
36
$8.00
$3,744.00
1
40
$9.00
$4,680.00
$0
$10.00
$$1
40
$12.50
$6,500.00
$1
36
$12.00
$5,616.00
0
40
$11.00
$5,720.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

2nd & 3rd Qtr
Earnings for those
Employed all 3 Qtrs
3
$6,292.00
3
$8,424.00
0
$2
$1
$3
$12,740.00
0
$3
$9,204.00
2
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$-

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$7

6

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$4
Average Hourly Wage

$62.50
$15.63

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Earnings
Avg Earnings

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$36,660.00
$9,165.00

For Those that EXIT during 3rd Qtr

Part. #

Participant Name
1
2
3
4
5
6
7
8
9
10
11
12

Yes=1; No=0
Employed
1st qtr
after exit
(Entered
Employment)

Yes=1; No=0
Employed
2nd qtr
after exit
(90 Day F/U)
1
1
1
0
1
1
0
1
1
1
0
1

Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
2nd Qtr after
28, 36, 40 etc) $7.50, $9.00) exit qtr
1
28
$7.00
$2,548.00
1
36
$8.00
$3,744.00
0
$0
$1
40
$7.00
$3,640.00
1
36
$6.00
$2,808.00
0
$1
24
$12.00
$3,744.00
1
36
$11.00
$5,148.00
0
$0
$1
40
$10.00
$5,200.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

Yes=1; No=0
Employed
3rd qtr
after exit
(Employment
Retention)

Quarterly Earnings
Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
3rd Qtr after
Employed
28, 36, 40 etc) $7.50, $9.00) exit qtr
ALL 3 Qtrs
1
32
$7.50
$3,120.00
1
40
$9.00
$4,680.00
$$1
40
$8.00
$4,160.00
0
$$1
36
$13.00
$6,084.00
1
40
$12.00
$6,240.00
$$1
40
$11.00
$5,720.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

2nd & 3rd Qtr
Earnings for those
Employed all 3 Qtrs
3
$5,668.00
3
$8,424.00
1
$0
$3
$7,800.00
2
$0
$3
$9,828.00
3
$11,388.00
1
$0
$3
$10,920.00
0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$-

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$9

7

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$6
Average Hourly Wage

$60.50
$10.08

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Earnings
Avg Earnings

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$54,028.00
$9,004.67

For Those that EXIT during 4th Qtr

Part. #

Participant Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

Yes=1; No=0
Employed
1st qtr
after exit
(Entered
Employment)

Yes=1; No=0
Employed
2nd qtr
after exit
(90 Day F/U)
1
1
1
1
0
1
1
0
0
1
1
0
1
1
1
1

Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
2nd Qtr after
28, 36, 40 etc) $7.50, $9.00) exit qtr
1
28
$7.00
$2,548.00
1
36
$9.00
$4,212.00
0
$1
40
$10.00
$5,200.00
0
$1
36
$12.00
$5,616.00
1
38
$11.00
$5,434.00
0
$0
$1
24
$7.00
$2,184.00
1
36
$8.00
$3,744.00
0
$1
40
$9.00
$4,680.00
1
40
$8.80
$4,576.00
1
28
$12.00
$4,368.00
0
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

Yes=1; No=0
Employed
3rd qtr
after exit
(Employment
Retention)

Quarterly Earnings
Hourly Wage
Hours Worked earned
Earnings for
in a Week (ie that week (ie
3rd Qtr after
Employed
28, 36, 40 etc) $7.50, $9.00) exit qtr
ALL 3 Qtrs
1
32
$8.00
$3,328.00
1
40
$10.00
$5,200.00
$0
$$1
40
$12.00
$6,240.00
1
40
$12.00
$6,240.00
$$1
36
$8.00
$3,744.00
0
$$1
40
$10.00
$5,200.00
0
$1
32
$13.00
$5,408.00
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$-

2nd & 3rd Qtr
Earnings for those
Employed all 3 Qtrs
3
$5,876.00
3
$9,412.00
1
$2
$0
$3
$11,856.00
3
$11,674.00
0
$0
$3
$5,928.00
2
$0
$3
$9,880.00
2
$3
$9,776.00
1
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$-

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$12

10

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$7
Average Hourly Wage

$73.00
$10.43

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Earnings
Avg Earnings

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$64,402.00
$9,200.29