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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. Period of Performance: Qtr 1 PY 2006
Grant #: E-9-5-x-xxxx Total Grant Award Amount: $300,000.00

Enter All Data NON-Cumulatively


Quarters 90 day Final 180 day F/U 270 day F/U
Actual Performance: 1st 2nd 3rd 4th 5th 6th 7th Total
# of Assessments 10 15 12 17 54
# of Participants Enrolled 9 12 10 15 46
# of Placed in Trans.or Perm Housing 8 7 6 5 26
# Referred to VA for Benefits 8 7 9 10 34
# Placed into Employment 7 8 9 12 36
Placement Rate (Auto Calc) 78%
Cost Per Placement (Auto Calc) $8,333.33
# of Exiters (Common Measures)
*Retro from Prev Qtr ALL must be exited by end of 4th qtr 8 10 12 16 46
# of Entered Employments (Common Measures)
*Same as old 90 day retention (Auto entered from Spreadsheets) 6 7 9 12 34
Entered Employment Rate (Auto Calc) 75% 70% 75% 75% 74%
# of Participants 90-Day Retention
*Same as old 180 day retention 6 6 7 10 29
Employment Retention (Common Measures)
Number Employed during 1st, 2nd and 3rd Qtr after Exit 4 4 6 7 21
Employment Retention Rate (Auto Calc) 67% 57% 67% 58% 62%
AVERAGE EARNINGS (AUTO CALC) $8,534.50 $9,165.00 $9,004.67 $9,200.29 $8,976.11
AVERAGE HOURLY WAGES (AUTO CALC) $9.38 $15.63 $10.08 $10.43 $11.38

Actual Training Activities: Enter NON-Cumulatively


Unduplicated count of all Participants Trained 9 10 12 10 41
% of Participants Trained (Minimum 80%) 89%
Class Room Training 1 3 2 9 15
On-the-Job Training 2 1 4 1 8
Occupational Skills Training 4 4 8 3 19
Apprenticeship Training 1 3 7 7 18
Upgrading and Retraining 1 2 2 2 7
Life Skills and Money Management 9 10 12 10 41
Other Training 2 1 2 2 7

Actual Supportive Services: Enter NON-Cumulatively, NON-Duplicative


Job Search Assistance 9 12 10 15 46
Counseling/Vocational Guidance 9 12 10 15 46
Job Club Workshops 9 12 10 15 46
Compensated Work Therapy 1 2 3 1 7
Tools/Fees/Specific Work Clothing 3 4 7 2 16
Other Supportive Service 9 12 10 15 46

Actual Expenditures: Enter NON-Cumulatively


Participant Services $68,000 $68,000 $68,000 $68,000 $272,000
Administrative Costs (Not to Exceed 20%) $5,000 $5,000 $5,000 $5,000 $20,000
Stand Down (Not to Exceed $8K per year) $8,000 $8,000
Total Expenditures $81,000 $73,000 $73,000 $73,000 $300,000

Revised: 1/16/07

Appendix D
For Those that EXIT during 1st Qtr Yes=1; No=0 Yes=1; No=0 Yes=1; No=0 Quarterly Earnings
Employed Employed
1st qtr Employed Hourly Wage 3rd qtr Hourly Wage
after exit 2nd qtr Hours Worked earned Earnings for after exit Hours Worked earned Earnings for 2nd & 3rd Qtr
(Entered after exit in a Week (ie that week (ie 2nd Qtr after (Employment in a Week (ie that week (ie 3rd Qtr after Employed Earnings for those
Part. # Participant Name Employment) (90 Day F/U) 28, 36, 40 etc) $7.50, $9.00) exit qtr Retention) 28, 36, 40 etc) $7.50, $9.00) exit qtr ALL 3 Qtrs Employed all 3 Qtrs
1 1 1 38 $7.00 $3,458.00 1 40 $8.00 $4,160.00 3 $7,618.00
2 1 1 36 $6.00 $2,808.00 1 38 $7.00 $3,458.00 3 $6,266.00
3 1 1 40 $9.00 $4,680.00 0 $- 2 $-
4 1 1 40 $8.00 $4,160.00 0 $- 2 $-
5 0 0 $- $- 0 $-
6 1 1 24 $9.00 $2,808.00 1 36 $9.50 $4,446.00 3 $7,254.00
7 0 0 $- $- 0 $-
8 1 1 40 $12.00 $6,240.00 1 40 $13.00 $6,760.00 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 $-
$- $- 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 $-
6 6 4 $37.50 Total Earnings $34,138.00
Average Hourly Wage $9.38 Avg Earnings $8,534.50
For Those that EXIT during 2nd Qtr Yes=1; No=0 Yes=1; No=0 Yes=1; No=0 Quarterly Earnings
Employed Employed
1st qtr Employed Hourly Wage 3rd qtr Hourly Wage
after exit 2nd qtr Hours Worked earned Earnings for after exit Hours Worked earned Earnings for 2nd & 3rd Qtr
(Entered after exit in a Week (ie that week (ie 2nd Qtr after (Employment in a Week (ie that week (ie 3rd Qtr after Employed Earnings for those
Part. # Participant Name Employment) (90 Day F/U) 28, 36, 40 etc) $7.50, $9.00) exit qtr Retention) 28, 36, 40 etc) $7.50, $9.00) exit qtr ALL 3 Qtrs Employed all 3 Qtrs
1 1 1 28 $7.00 $2,548.00 1 36 $8.00 $3,744.00 3 $6,292.00
2 1 1 36 $8.00 $3,744.00 1 40 $9.00 $4,680.00 3 $8,424.00
3 0 0 $- $- 0 $-
4 1 1 40 $9.00 $4,680.00 0 $10.00 $- 2 $-
5 1 0 $- $- 1 $-
6 1 1 40 $12.00 $6,240.00 1 40 $12.50 $6,500.00 3 $12,740.00
7 0 0 $- $- 0 $-
8 1 1 24 $11.50 $3,588.00 1 36 $12.00 $5,616.00 3 $9,204.00
9 1 1 38 $10.00 $4,940.00 0 40 $11.00 $5,720.00 2 $-
10 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 $-
$- $- 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 $-
7 6 4 $62.50 Total Earnings $36,660.00
Average Hourly Wage $15.63 Avg Earnings $9,165.00
For Those that EXIT during 3rd Qtr Yes=1; No=0 Yes=1; No=0 Yes=1; No=0 Quarterly Earnings
Employed Employed
1st qtr Employed Hourly Wage 3rd qtr Hourly Wage
after exit 2nd qtr Hours Worked earned Earnings for after exit Hours Worked earned Earnings for 2nd & 3rd Qtr
(Entered after exit in a Week (ie that week (ie 2nd Qtr after (Employment in a Week (ie that week (ie 3rd Qtr after Employed Earnings for those
Part. # Participant Name Employment) (90 Day F/U) 28, 36, 40 etc) $7.50, $9.00) exit qtr Retention) 28, 36, 40 etc) $7.50, $9.00) exit qtr ALL 3 Qtrs Employed all 3 Qtrs
1 1 1 28 $7.00 $2,548.00 1 32 $7.50 $3,120.00 3 $5,668.00
2 1 1 36 $8.00 $3,744.00 1 40 $9.00 $4,680.00 3 $8,424.00
3 1 0 $- $- 1 $-
4 0 0 $- $- 0 $-
5 1 1 40 $7.00 $3,640.00 1 40 $8.00 $4,160.00 3 $7,800.00
6 1 1 36 $6.00 $2,808.00 0 $- 2 $-
7 0 0 $- $- 0 $-
8 1 1 24 $12.00 $3,744.00 1 36 $13.00 $6,084.00 3 $9,828.00
9 1 1 36 $11.00 $5,148.00 1 40 $12.00 $6,240.00 3 $11,388.00
10 1 0 $- $- 1 $-
11 0 0 $- $- 0 $-
12 1 1 40 $10.00 $5,200.00 1 40 $11.00 $5,720.00 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 $-
$- $- 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 $-
9 7 6 $60.50 Total Earnings $54,028.00
Average Hourly Wage $10.08 Avg Earnings $9,004.67
For Those that EXIT during 4th Qtr Yes=1; No=0 Yes=1; No=0 Yes=1; No=0 Quarterly Earnings
Employed Employed
1st qtr Employed Hourly Wage 3rd qtr Hourly Wage
after exit 2nd qtr Hours Worked earned Earnings for after exit Hours Worked earned Earnings for 2nd & 3rd Qtr
(Entered after exit in a Week (ie that week (ie 2nd Qtr after (Employment in a Week (ie that week (ie 3rd Qtr after Employed Earnings for those
Part. # Participant Name Employment) (90 Day F/U) 28, 36, 40 etc) $7.50, $9.00) exit qtr Retention) 28, 36, 40 etc) $7.50, $9.00) exit qtr ALL 3 Qtrs Employed all 3 Qtrs
1 1 1 28 $7.00 $2,548.00 1 32 $8.00 $3,328.00 3 $5,876.00
2 1 1 36 $9.00 $4,212.00 1 40 $10.00 $5,200.00 3 $9,412.00
3 1 0 $- $- 1 $-
4 1 1 40 $10.00 $5,200.00 0 $- 2 $-
5 0 0 $- $- 0 $-
6 1 1 36 $12.00 $5,616.00 1 40 $12.00 $6,240.00 3 $11,856.00
7 1 1 38 $11.00 $5,434.00 1 40 $12.00 $6,240.00 3 $11,674.00
8 0 0 $- $- 0 $-
9 0 0 $- $- 0 $-
10 1 1 24 $7.00 $2,184.00 1 36 $8.00 $3,744.00 3 $5,928.00
11 1 1 36 $8.00 $3,744.00 0 $- 2 $-
12 0 0 $- $- 0 $-
13 1 1 40 $9.00 $4,680.00 1 40 $10.00 $5,200.00 3 $9,880.00
14 1 1 40 $8.80 $4,576.00 0 $- 2 $-
15 1 1 28 $12.00 $4,368.00 1 32 $13.00 $5,408.00 3 $9,776.00
16 1 0 $- $- 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 $-
$- $- 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 $-
12 10 7 $73.00 Total Earnings $64,402.00
Average Hourly Wage $10.43 Avg Earnings $9,200.29

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