Enhanced Transitional Jobs Demonstration Data Elements
No. |
DATA ELEMENT NAME |
DATA ELEMENT DEFINITIONS/INSTRUCTIONS |
VALID VALUES |
EDITS |
Global Edits |
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Duplicate Detection |
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A. If multiple records
have the same birth date and name (Fields 1 and 2), then no
record can have a Field 46 (Date of Participation) or a Field 47
(Date or Exit) between the Date of Program Participation and the
Date of Exit plus 90 days of any other record with the same
Individual Identifier. |
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Age |
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A. Must be greater than or equal to 18 and less than or equal to 100 years old at Date of Participation. Age = DATE OF PARTICIPATION minus DATE OF BIRTH |
SECTION I - INDIVIDUAL INFORMATION |
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SECTION I.A - IDENTIFYING AND DEMOGRAPHIC INFORMATION |
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1 |
Date of Birth |
Record the individual's date of birth. |
MM/DD/YYYY |
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2 |
Name |
Record the individual’s first name, last name, and middle initial (optional). |
Text Box |
Middle Initial Field should be optional. First and last name are required. Mark these with a red asterisk. |
3 |
Eligibility Type |
Indicate the eligibility type by selecting Ex-Offender or Non-Custodial Parent. |
1 = Ex-Offender 2 = Non-Custodial Parent |
Field is required, but may select more than one option. |
4 |
Gender |
Indicate the participant's
gender by selecting Male or Female. |
1 = Male |
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5 |
Ethnicity Hispanic/ Latino |
Indicate the participant's
ethnicity by selecting yes or no. |
1 = Yes |
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6 |
American Indian or Alaska Native |
Select yes if the participant is American Indian or Alaska Native.
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1 = Yes |
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7 |
Asian |
Select yes if the participant is Asian.
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1 = Yes |
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8 |
Black or African American |
Select yes if the participant is Black or African American.
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1 = Yes |
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9 |
Hawaiian Native or other Pacific Islander |
Select yes if the participant is a Hawaiian Native or other Pacific Islander.
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1 = Yes |
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10 |
White |
Select yes if the participant is White.
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1 = Yes |
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SECTION I.B - ENROLLMENT INFORMATION |
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11 |
Primary Language |
Specify language spoken most often. |
1 = English 2 = Spanish 3 = Other |
If other, grantee must specify language in text box |
12 |
Marital status |
Enter the participant’s marital status at time of enrollment. |
1 = Married |
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13 |
Lives with Participant |
Indicate the living situation from the dropdown menu, selecting all that apply. |
1 = Alone 2 = Wife 3 = Girlfriend 4 = Parent/Stepparent 5 = Friend(s) 6 = Grandparent 7 = Own Child(ren) 8 = Other Child(ren) 9 = Sister/Brother 10 = Other Relative 11= Other Non-Relative |
Grantee must have ability to select multiple categories from dropdown menu |
16 |
Highest School Grade Completed |
Use the appropriate code
to record the highest school grade completed by the individual.
Record
88 if the individual completed the 12th grade and attained a
GED or equivalent. Record
89 if the individual with a disability received a certificate
of attendance/completion. Record 90 if the individual attained other post-secondary degree or certification. |
00 = No school grades
completed |
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17 |
Occupational Training Certification |
Select yes or no |
1 = Yes 2 = No
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If yes, a text box is required, describing the certificate(s) attained |
18 |
Eligible Veteran Status |
Select yes, <= 180 days if the individual is a person who served in the active U.S. military, naval, or air service for a period of less than or equal to 180 days, and who was discharged or released from such service under conditions other than dishonorable.
Select yes, eligible veteran if the individual served on active duty for a period of more than 180 days and was discharged or released with other than a dishonorable discharge; or was discharged or released because of a service connected disability; or as a member of a reserve component under an order to active duty pursuant to section 167 (a), (d), or, (g), 673 (a) of Title 10, U.S.C., served on active duty during a period of war or in a campaign or expedition for which a campaign badge is authorized and was discharged or released from such duty with other than a dishonorable discharge.
Select yes, other eligible person if the individual is a person who is (a) the spouse of any person who died on active duty or of a service-connected disability, (b) the spouse of any member of the Armed Forces serving on active duty who at the time of application for assistance under this part, is listed, pursuant to 38 U.S.C 101 and the regulations issued thereunder, by the Secretary concerned, in one or more of the following categories and has been so listed for more than 90 days: (i) missing in action; (ii) captured in the line of duty by a hostile force; or (iii) forcibly detained or interned in the line of duty by a foreign government or power; or (c) the spouse of any person who has a total disability permanent in nature resulting from a service-connected disability or the spouse of a veteran who died while a disability so evaluated was in existence.
Select no if the individual does not meet any one of the conditions described above. |
1 = Yes, <= 180 days 2 = Yes, Eligible Veteran 3 = Yes, Other Eligible Person 4 = No |
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19 |
Limited English Proficient |
Select yes if the
individual is a person who has limited ability in speaking,
reading, writing or understanding the English language and: (a)
whose native language is a language other than English, or (b)
who lives in a family or community environment where a language
other than English is the dominant language. Select no if the individual does not meet the conditions described above. |
1 = Yes |
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20 |
Individual with a Disability |
Select yes if the
individual indicates that he/she has any "disability,"
as defined in Section 3(2)(a) of the Americans with Disabilities
Act of 1990 (42 U.S.C. 12102). Under that definition, a
"disability" is a physical or mental impairment that
substantially limits one or more of the person's major life
activities. (For definitions and examples of "physical or
mental impairment" and "major life activities,"
see paragraphs (1) and (2) of the definition of the term
"disability" in 29 CFR 37.4, the definition section of
the WIA non-discrimination regulations.) Select
no if the individual indicates that he/she does not have a
disability that meets the definition. Leave blank if the individual does not wish to self-identify. |
1 = Yes |
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21 |
Employment History |
Select yes or no as to whether participant has ever been employed. |
1 = Yes 2 = No |
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22 |
Employment Retention History |
Select yes or no as to whether participant has ever worked for the same employer for six months or more. |
1 = Yes 2 = No |
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23 |
Employment Status at Intake |
Record Employed if
the participant is a person who either: (a) did any work at all
as a paid employee, (b) did any work at all in his or her own
business, profession, or farm, (c) worked 15 hours or more as an
unpaid worker in an enterprise operated by a member of the
family, or (d) is one who was not working, but has a job or
business from which he or she was temporarily absent because of
illness, bad weather, vacation, labor-management dispute, or
personal reasons, whether or not paid by the employer for
time-off, and whether or not seeking another job. Record
Employed, but Received Notice of Termination of Employment or
Military Separation if the participant is a person who,
although employed, either: (a) has received a notice of
termination of employment or the employer has issued a Worker
Adjustment and Retraining Notification (WARN) or other notice
that the facility or enterprise will close, or (b) is currently
on active military duty and has been provided with a
firm date of separation from military service. Record Not Employed if the individual does not meet any one of the conditions described above. |
1 = Employed |
A. Must be 1 or 2 if Field
24 (Occupation at Intake) is >0. |
24 |
Occupation at Intake |
Record the 8-digit
occupational code that best describes the individual's employment
at enrollment using the O*Net Version 4.0 (or later versions)
classification system. |
00000000 |
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25 |
Hours Worked at Intake |
Enter the average hours per week that the participant works at the above occupation. Leave blank if the participant is not employed at participation. |
00Blank = not employed |
A. Must be greater than 0 if Field 23 (Employment Status at Intake) is 1 or 2. |
26 |
Average Hourly Wage at Intake |
Enter the participant's
average hourly wage at the above occupation. |
00.00 |
A. Must be greater than 0 if Field 23 (Employment Status at Intake) is 1 or 2. |
27 |
Start Date for Job at Intake |
Enter the date on which
the participant began to work at the above job. |
MM/DD/YYYY |
A. Must not be blank if Field 23 (Employment Status at Intake) is 1 or 2. |
28 |
Housing Status at Enrollment |
Select Own/Rent Apartment, Room, or House if, at enrollment, the individual is living in an apartment, room, or house that he/she owns or rents.
Select Staying at someone's apartment, room, or house (Stable) if, at enrollment, the individual is living in an apartment, room, or house that somebody else owns or rents and if the person is not at risk of being displaced from this housing, i.e the housing situation is long-term.
Select Halfway house/transitional house if, at enrollment, the individual is living in a residence designed to assist persons as they re-enter society and learn to adapt to independent living after having been in prison.
Select Residential treatment if, at enrollment, the individual lives in a residential treatment center. A residential treatment center is a group home that provides room and board, and provides specialized treatment or rehabilitation persons with emotional, psychological, or developmental problems as well as chemical dependencies.
Select Homeless if, at enrollment, the individual lacks a fixed, regular, adequate night time residence. This definition includes any individual who has a primary night time residence that is a publicly or privately operated shelter for temporary accommodation; an institution providing temporary residence for individuals intended to be institutionalized; or a public or private place not designated for or ordinarily used as a regular sleeping accommodation for human beings. This definition does not include an individual imprisoned or detained under an Act of Congress or state law. An individual who may be sleeping in a temporary accommodation while away from home should not, as a result of that alone, be recorded as homeless.
Select Staying at someone's apartment, room, or house (Unstable) if, at enrollment, the individual is living in an apartment, room, or house that somebody else owns or rents and if the person is at risk of being displaced from this housing, i.e. the housing situation is short-term. |
1 = Own/rent apartment, room, or house 2 = Staying at someone's apartment, room, or house (Stable) 3 = Halfway house/ transitional house 4 = Residential treatment 5 = Homeless 6 = Staying at someone's apartment, room, or house (Unstable) |
A. Must be completed within two weeks of opening the record. |
29 |
Alcohol Abuse/ Drug Use at Intake |
Select prior to
incarceration if the individual used illegal drugs or abused
legal drugs or alcohol within 3 months prior to incarceration. Select
prior to enrollment if the individual used illegal drugs or
abused legal drugs or alcohol 3 months prior to
enrollment. Select no if the individual did not use illegal drugs or abuse alcohol 3 months prior to incarceration or 3 month prior to enrollment. |
1 = Prior to enrollment |
A. Must be completed within two weeks of opening the record. |
30 |
Alcohol Abuse/Drug Abuse Treatment at Intake |
Select yes or no as to whether participant is in substance abuse treatment at intake. |
1 = Yes 2 = No |
If participant answers yes, select yes or no as to whether treatment is court-mandated or a requirement of probation/parole based on participant’s answer to first question.
1 = Yes 2 = No |
31 |
Family Support |
Select any of the categories that apply in terms of the participant’s response to area where family are able to assist. |
1 = Place to Live 2 = Job 3 = Substance Abuse Treatment 4 = Transportation 5 = Financial Support 6 = None |
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32 |
Public Assistance at Enrollment |
Indicate the following sources of other public assistance that the recipient was receiving at enrollment. |
1 = Social Security
Insurance (SSI) or Social Security Disability (SSD) |
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33 |
Referral Source |
Enter the name of the organization or individual who referred the applicant to the ETJD program. |
Text |
This field is optional. |
SECTION I.C -
INFORMATION ON INCARCERATION |
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34 |
Post-Release Status at Intake |
Select parole if
the participant is on parole on the date of participation. Select
probation if the participant is on probation on the date
of participation. Select
other criminal justice/court supervision if the
participant is on post-release supervision other than parole or
probation on the date of participation. Select none if the participant is not on any form of post-release supervision. |
1 = Parole |
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35 |
Mandated participation |
Select yes if
participation in the ETJD program is mandated by a criminal
justice agency or agent |
1 = Yes |
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36 |
Criminal Justice System Identifier |
Enter the individual's unique criminal justice system identifier that was assigned to the individual while in most recent incarceration. |
Text |
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37 |
Type of Criminal Justice Identifier |
Select the appropriate type of criminal justice identifier used in Field 36. |
1 = Federal ID |
A. Must not be null if Field 36 (Criminal Justice System Identifier) is not null. |
38 |
Specify Other Criminal Justice Identifier |
Specify the type of criminal justice identifier if other was selected in Field 37. |
Text |
A. Must not be blank if Field 37 (Type of Criminal Justice Identifier) is 7. |
39 |
Employment Status at Incarceration |
Prior to the most recent incarceration, indicate whether the individual was employed within two weeks of arrest. |
1 = Employed full-time |
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40 |
Date of Incarceration for Most Recent Crime Prior to Participation |
Enter the date on which the participant was incarcerated for the most recent crime committed prior to participation. |
MM/DD/YYYY |
A. Must be less than Field 41 (Date of Release for Most Recent Crime Prior to Participation). |
41 |
Date of Release for Most Recent Crime Prior to Participation |
Enter the date on which the participant was most recently released from prison prior to participation. |
MM/DD/YYYY |
A. Must be less than Field
62 (Date of Program Participation). |
42 |
Institution |
Enter the name of the institution at which the participant was incarcerated most recently prior to enrollment. |
Text |
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43 |
Type of Institution |
Select the type of institution at which the participant was incarcerated most recently prior to enrollment |
1 = Federal prison |
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44 |
Total Time Incarcerated |
Enter the total number of years and months that the participant has been incarcerated during his/her lifetime. |
YY/MM |
A. Must be completed within two weeks of opening the record. |
45 |
Property Crime |
Select the appropriate type(s) of property crime for the participant's most recent conviction. Property crimes include, but are not limited to, burglary, larceny, motor vehicle theft, and receiving stolen property.If a participant was convicted for more than one type of offense, select all appropriate offenses. Leave blank if the participant's most recent conviction was not for a property crime. |
1 = Burglary 2 = Larceny 3 = Motor vehicle theft 4 = Receiving stolen property 5 = Other property crime Blank = not a property crime |
A. Must be completed within two weeks of opening the record. |
46 |
Type of Other Property Crime |
Specify the other property
crime. |
Text |
A. Must not be blank if
Field 45 (Property Crime) is 5. |
47 |
Drug Crime |
Select the appropriate
type(s) of drug crime for the participant's most recent
conviction. Drug crimes include, but are not limited to,
possession of a controlled substance, traffic in a controlled
substance, and possession of drug paraphernalia. |
1 = Possession of a
controlled substance |
A. Must be completed within two weeks of opening the record. |
48 |
Type of Other Drug Crime |
Specify the other drug
crime. |
Text |
A. Must not be blank if
Field 40 (Drug Crimes) is 4. |
49 |
Public Order Offenses |
Select the appropriate
type(s) of public order offenses for the participant's most
recent conviction. Public order offenses include, but are not
limited to, commercial vice, gambling, animal cruelty, and
driving while intoxicated. |
1 = Commercial vice |
A. Must be completed within two weeks of opening the record. |
50 |
Type of Other Public Order Offenses |
Specify the other public order offense. Leave blank if the participant's most recent conviction did not include other public order offenses. |
Text Blank = did not include other public order offense |
A. Must not be blank if Field 49 (Public Order Offenses) is 5.
B. Must be completed within two weeks of opening the record. |
51 |
Other Offenses |
Select yes if the participant's most recent conviction was for any offense not included in property, drug, or public order offenses. |
1 = Yes |
A. Must be completed within two weeks of opening the record. |
52 |
Type of Other Offenses |
Specify the other
offenses. |
Text |
A. Must not be blank if
Field 51 (Other Offenses) is 1. |
SECTION 1.D. INFORMATION ON CHILD SUPPORT This information is collected at enrollment for both non-custodial parent and ex-offender participants |
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53 |
Number of Children Under Age 19 |
Select the appropriate number from the dropdown box |
Drop down box containing numbers from 0 to 10 |
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54 |
Age of Each Child Under Age 19 |
Fill in appropriate text boxes with age of each child. |
Text |
0 = no text boxes 1 = 1 text box 2 = 2 text boxes Etc. |
55 |
Number of Children Under Age 19 that Live with Participant |
Select the appropriate number from the dropdown box |
Drop down box containing numbers from 0 to 10 |
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56 |
Formal Child Support Order in Place |
Does the individual have one or more current child support order(s) in place? This is an order that was established through the formal child support system (either a court or a state or county agency). |
Select Yes or No |
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57 |
Number of Child Support Enforcement Cases |
Select the appropriate number from the dropdown box |
Drop down box containing numbers from 0 to 10 |
If yes to Field 56 (Formal Child Support Order in Place), then Field 57 cannot be 0
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58 |
Number of Children for Each Child Support Enforcement Case |
Specify the number of children for whom the individual is obligated to pay child support for each case. |
For Case 1, select number from drop down; for Case 2, select number, etc. |
If yes to Field 56 (Formal Child Support Order in Place), then Field 51 must be filled out.
For the number selected in Field 57 (Number of Child Support Enforcement Cases), a separate drop down box should appear until the total of the number in Field 57 |
59 |
Child Support Case Numbers |
Specify the case numbers for each Child Support Enforcement Case |
Text Boxes up to the total number selected in Field 57 (Number of Child Support Enforcement Cases) |
optional |
60 |
Order Amount for Each Case |
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1 = weekly 2= monthly 3 = other
C. Select Yes or No |
If yes to Field 56, this Field must be filled out. Order amount information fields should be provided up to the maximum number of child support cases stated in Field 57 (Number of Child Support Enforcement Cases). |
61 |
Date of Most Recent Visitation with Focal Child |
Specify most recent date of visit with focal child |
MM/DD/YYYY |
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SECTION II - PROGRAM ACTIVITIES AND SERVICES INFORMATION |
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SECTION II.A - PROGRAM PARTICIPATION DATA |
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62 |
Date of Program Participation |
Record the date on which
the individual begins receiving his/her first service funded by
the program following a determination of eligibility to
participate in the program. |
MM/DD/YYYY |
A. This date will be auto-generated by the system to be the date on which assessment information is submitted. |
63 |
Date of Exit |
Record the date on which
the last service funded by the program or a partner program
(excluding supportive services) is received by the participant or
the date of incarceration, whichever occurs first. |
MM/DD/YYYY |
A. This date will be auto-generated by the system to be the date on which the individual receives his/her last service. |
64 |
Reason for Leaving Initial Placement in Unsubsidized Employment |
Indicate the reason why the individual left the job of initial placement. |
1 = Reincarcerated |
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65 |
Prerelease Contact |
Select yes if the
DOL grantee had any contact with the participant prior to
registration in the program. |
1 = Yes |
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66 |
Other Reasons for Exit (at time of exit or during three-quarter measurement period following the quarter of exit) |
Select Health/Medical if the participant is receiving medical treatment that precludes entry into unsubsidized employment or continued participation in the program. Does not include temporary conditions expected to last for less than 90 days.
Select Deceased if the participant was found to be deceased or no longer living.
Select Family Care if the participant is providing care for a family member that precludes entry into unsubsidized employment or continued participation in the program. Does not include temporary conditions expected to last for less than 90 days.
Select Reservists Called to Active Duty if the participant is a reservist who is called to active duty for at least 90 days.
Leave blank if none of the above reasons apply. |
02 = Health/Medical 03 = Deceased 04 = Family Care 05 = Reservists Called to Active Duty Blank = none of the above |
A. Must be blank if Field 63 (Date of Exit) is blank. |
SECTION II.B - SERVICES AND OTHER RELATED ASSISTANCE DATA |
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Education or Job Training Activities |
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67 |
Date Entered Math/Reading Remediation |
Enter the date on which
the participant started math/reading remediation.
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MM/DD/YYYY |
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68 |
Expected Completion Date of Math/Reading Remediation |
Enter the date on which the participant is expected to complete math/reading remediation. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 67 (Date Entered Math/Reading Remediation) |
69 |
Date of Last Math/Reading Remediation Services During the Month |
Enter the last date during the month in which the participant received math/remediation services.
Note: This field must repeat for every month in which the participant receives math/remediation services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 67 (Date Entered Math/Reading Remediation) |
70 |
Date Ended Math/Reading Remediation |
Enter the date on which the participant exited math/reading remediation. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 67 (Date Entered Math/Reading Remediation).
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71 |
Completed Math/Reading Remediation |
Select yes if the
participant successfully completed math/reading remediation.
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1 = Yes |
A. Must not be blank if Field 70 (Date Ended Math/Reading Remediation) is a valid date. |
72 |
Date Entered GED Preparation |
Enter the date on which
the participant started GED preparation. |
MM/DD/YYYY |
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73 |
Expected Completion Date of GED Preparation |
Enter the date on which the participant is expected to complete GED preparation. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 72 (Date Entered GED Preparation). |
74 |
Date of Last GED Preparation Services During the Month |
Enter the last date during
the month in which the participant received GED preparation
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 72 (Date Entered GED Preparation). |
75 |
Date Ended GED Preparation |
Enter the date on which the participant exits GED preparation. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 72 (Date Entered GED Preparation).
|
76 |
Completed GED Preparation |
Select yes if the
participant successfully completed GED preparation. |
1 = Yes |
A. Must not be blank if Field 75 (Date Ended GED Preparation) is a valid date. |
77 |
Date Entered Vocational/ Occupational Skills Training Services |
Enter the date on which
the participant started vocational/occupational skills training.
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MM/DD/YYYY |
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78 |
Expected Completion Date of Vocational/ Occupational Skills Training Services |
Enter the date on which the participant is expected to complete vocational/occupational skills training. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 77 (Date Entered Vocational/ Occupational Skills Training Services). |
79 |
Date of Last Vocational/ Occupational Skills Training Services During the Month |
Enter the last date during
the month in which the participant received
vocational/occupational skills training services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 77 (Date Entered Vocational/ Occupational Skills Training Services). |
80 |
Date Ended Vocational/ Occupational Skills Training Services |
Enter the date on which the participant exited vocational/occupational skills training. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 77 (Date Entered Vocational/ Occupational Skills Training Services).
|
81 |
Completed Vocational/ Occupational Skills Training Services |
Select yes if the
participant successfully completed vocational/occupational skills
training. |
1 = Yes |
A. Must not be blank if Field 80 (Date Ended Vocational/ Occupational Skills Training Services) is a valid date. |
82 |
Expected Duration of Vocational/ Occupational Skills Training |
Select the duration of the vocational/occupational skills training program that the participant has entered. |
1 = 5 or fewer hours per
week |
A. Must not be blank if Field 77 (Date Entered Vocational/ Occupational Skills Training Services) is a valid date. |
83 |
Expected Cost of Vocational/ Occupational Skills Training |
Enter the expected cost of the vocational/occupational skills training program that the participant has entered. |
0000.00 |
A. Must not be blank if Field 61 (Date Entered Vocational/ Occupational Skills Training Services) is a valid date. |
84 |
Date Entered On- the-Job Training (OJT) |
Enter the date on which
the participant started on-the-job training (OJT). |
MM/DD/YYYY |
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85 |
Expected Completion Date of On-the-Job Training (OJT) |
Enter the date on which the participant is expected to complete on-the-job training (OJT). |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 84 (Date Entered On-the-Job Training). |
86 |
Date of Last On-the-Job Training (OJT) Services During the Month |
Enter the last date during
the month in which the participant received on-the-job training
(OJT) services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 84 (Date Entered On-the-Job Training). |
87 |
Date Ended On-the-Job Training (OJT) |
Enter the date on which the participant exited on-the-job training (OJT). |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 84 (Date Entered On-the-Job Training).
|
88 |
Completed On-the-Job Training (OJT) |
Select yes if the
participant successfully completed OJT. |
1 =Yes |
A. Must not be blank if Field 87 (Date Ended On-the-Job Training) is a valid date. |
89 |
Date Entered Other Education or Job Training Activities |
Enter the date on which the participant started other education or job training activities. |
MM/DD/YYYY |
|
90 |
Type of Other Education or Job Training Activities |
Specify the type of other education or job training activities. |
Text |
A. Must not be blank if Field 89 (Date Entered Other Education or Job Training Activities) is a valid date. |
91 |
Expected Completion Date of Other Education or Job Training Activities |
Enter the date on which the participant is expected to complete other education or job training activities. |
MM/DD/YYYY |
A. Must not be blank if Field 89 (Date Entered Other Education or Job Training Activities) is a valid date. |
92 |
Date of Last Other Education or Job Training Activities Services During the Month |
Enter the last date during
the month in which the participant received other education or
job training activities services. |
MM/DD/YYYY |
A. Must not be blank if Field 89 (Date Entered Other Education or Job Training Activities) is a valid date. |
93 |
Date Ended Other Education or Job Training Activities |
Enter the date on which the participant exits other education or job training activities. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 89 (Date Entered Other Education or Job Training Activities). |
94 |
Completed Other Education or Job Training Activities |
Select yes if the
participant successfully completed other education or job
training activities. |
1 = Yes |
A. Must not be blank if Field 93 (Date Ended Other Education or Job Training Activities) is a valid date. |
Workforce Preparation Activities |
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95 |
Date Entered Subsidized Employment |
Enter the date on which the participant started subsidized employment. |
MM/DD/YYYY |
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96 |
Expected Completion Date of Subsidized Employment |
Enter the date on which the participant is expected to complete subsidized employment. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 95 (Date Entered Subsidized Employment). |
97 |
Date of Last Subsidized Employment Services During the Month |
Enter the last date during
the month in which the participant received subsidized employment
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 95 (Date Entered Subsidized Employment). |
98 |
Date Ended Subsidized Employment |
Enter the date on which the participant exited subsidized employment. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 95 (Date Entered Subsidized
Employment). |
99 |
Completed Subsidized Employment |
Select yes if the participant successfully completed subsidized employment.
Select no if the participant did not successfully complete subsidized employment. |
1 = Yes 2 = No |
A. Must not be blank if Field 98 (Date Ended Subsidized Employment) is a valid date. |
100 |
Date Entered Internship |
Enter the date on which
the participant started internship. |
MM/DD/YYYY |
|
101 |
Expected Completion Date of Internship |
Enter the date on which the participant is expected to complete internship. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 100 (Date Entered Internship). |
102 |
Date of Last Internship During the Month |
Enter the last date during
the month in which the participant participated in an
internship. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 100 (Date Entered Internship). |
103 |
Date Ended Internship |
Enter the date on which the participant exits internship. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 84 (Date Entered Internship). |
104 |
Completed Internship |
Select yes if the participant successfully completed internshipSelect no if the participant did not successfully complete internship. |
1 = Yes2 = No |
A. Must not be blank if Field 87 (Date Ended Internship) is a valid date. |
105 |
Date Entered Workforce Information Services |
Enter the date on which
the participant started workforce information services.
|
MM/DD/YYYY |
|
106 |
Expected Completion Date of Workforce Information Services |
Enter the date on which the participant is expected to complete workforce information services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 105 (Date Entered Workforce Information Services). |
107 |
Date of Last Workforce Information Services During the Month |
Enter the last date during
the month in which the participant received workforce information
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 105 (Date Entered Workforce Information Services). |
108 |
Date Ended Workforce Information Services |
Enter the date on which the participant exits workforce information services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 105 (Date Entered Workforce Information Services). |
109 |
Completed Workforce Information Services |
Select yes if the
participant successfully completed workforce information
services. |
1 = Yes |
A. Must not be blank if Field 108 (Date Ended Workforce Information Services) is a valid date. |
110 |
Date Entered Training |
Enter the date on which the participant started any training program. |
MM/DD/YYYY 1 = Orientation 2 = Life Skills 3 = Pre-employment Class 4 = Vocational/ Occupational Skills 5 = On-the-Job Training 6 = Internship 7 = Parenting Class 8 = Other
|
If a date is provided, a selection must be made from the dropdown for the type of training program.
For values 5 and 6, employer must be provided in a text box. For value 8, the type of class should be described in a text box. |
111 |
Completion Date of Training |
Enter the date on which the participant completed the training. |
MM/DD/YYYY 1 = Orientation 2 = Life Skills 3 = Pre-employment Class 4 = Vocational/ Occupational Skills 5 = On-the-Job Training 6 = Internship 7 = Parenting Class 8 = Other Yes/No
|
If a date is provided, a selection must be made from the dropdown for the type of training program.
For values 5 and 6, employer must be provided in a text box. For value 8, the type of class should be described in a text box.
Grantee must select yes or no as to whether a certificate was provided from the training. If yes, a text box should be filled out providing the certificate name. |
112 |
Date Entered Work Readiness Training Services |
Enter the date on which the participant started work readiness training services.
Work readiness training includes world of work awareness, labor market knowledge, occupational information, values clarification and personal understanding, career planning and decision-making, and job search techniques (resumes, interviews, applications, and follow-up letters). It also includes positive work habits, attitudes, and behavior such as punctuality, regular attendance, presenting a neat appearance, getting along and working well with others, exhibiting good conduct, following instructions and completing tasks, accepting constructive criticism from supervisors and co-workers, showing initiative and reliability, and assuming the responsibilities involved in maintaining a job. |
MM/DD/YYYY |
|
113 |
Date of Last Work Readiness Training Services During the Month |
Enter the last date during the month in which the participant received work readiness training services.
Note: This field must repeat for every month in which the participant receives work readiness training services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 112 (Date Entered Work Readiness Training Services). |
114 |
Date Ended Work Readiness Training Services |
Enter the date on which the participant exits work readiness training services. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 112 (Date Entered Work Readiness
Training.) |
115 |
Completed Work Readiness Training |
Select yes if the
participant successfully completed work readiness
training. |
1 = Yes |
A. Must not be blank if Field 114 (Date Ended Work Readiness Training Services) is a valid date. |
116 |
Date Entered Career/Life Skills Counseling |
Enter the date on which
the participant started career/life skills counseling.
|
MM/DD/YYYY |
|
117 |
Expected Completion Date of Career/Life Skills Counseling |
Enter the date on which the participant is expected to complete career/life skills counseling. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 116 (Date Entered Career/Life Skills Counseling). |
118 |
Date of Last Career/Life Skills Counseling Services During the Month |
Enter the last date during
the month in which the participant received career/life skills
counseling services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 116 (Date Entered Career/Life Skills Counseling). |
119 |
Date Ended Career/Life Skills Counseling |
Enter the date on which the participant exits career/life skills counseling. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 116 (Date Entered Career/Life
Skills Counseling). |
120 |
Completed Career/Life Skills Counseling |
Select yes if the
participant successfully completed career/life skills
counseling |
1 = Yes |
A. Must not be blank if Field 119 (Date Ended Career/Life Skills Counseling) is a valid date. |
121 |
Date Entered Other Workforce Preparation Activities |
Enter the date on which the participant started other workforce preparation activities. |
MM/DD/YYYY |
|
122 |
Type of Other Workforce Preparation Activities |
Specify the type of other workforce preparation activities. |
Text |
A. Must not be blank if Field 121 (Date Entered Other Workforce Preparation Activities) is a valid date. |
123 |
Expected Completion Date of Other Workforce Preparation Activities |
Enter the date on which the participant is expected to complete other workforce preparation activities. |
MM/DD/YYYY |
A. Must not be blank if Field 121 (Date Entered Other Workforce Preparation Activities) is a valid date. |
124 |
Date of Last Other Workforce Preparation Activities Services During the Month |
Enter the last date during
the month in which the participant received other workforce
preparation activities services. |
MM/DD/YYYY |
A. Must not be blank if Field 121 (Date Entered Other Workforce Preparation Activities) is a valid date. |
125 |
Date Ended Other Workforce Preparation Activities |
Enter the date on which the participant exits other workforce preparation activities. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 121 (Date Entered Other Workforce Preparation Activities). |
126 |
Completed Other Workforce Preparation Activities |
Select yes if the
participant successfully completed other workforce preparation
activities |
1 = Yes |
A. Must not be blank if Field 125 (Date Ended Other Workforce Preparation Activities) is a valid date. |
Community Involvement Activities |
|
|||
127 |
Date Entered Community Service |
Enter the date on which
the participant started community service. |
MM/DD/YYYY |
|
128 |
Expected Completion Date of Community Service |
Enter the date on which the participant is expected to complete community service. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 127 (Date Entered Community Service). |
129 |
Date of Last Community Service During the Month |
Enter the last date during
the month in which the participant received community service
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 127 (Date Entered Community Service). |
130 |
Date Ended Community Service |
Enter the date on which the participant exits community service. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 127 (Date Entered Community
Service). |
131 |
Completed Community Service |
Select yes if the participant successfully completed community service.
Select no if the participant did not successfully complete community service. |
1 = Yes 2 = No |
A. Must not be blank if Field 130 (Date Ended Community Service) is a valid date. |
132 |
Date Entered Other Community Involvement Activities |
Enter the date on which the participant started other community service. |
MM/DD/YYYY |
|
133 |
Type of Other Community Involvement Activities |
Specify the type of other community service. |
Text |
A. Must not be blank if Field 132 (Date Entered Other Community Involvement Activities) is a valid date. |
134 |
Expected Completion Date of Other Community Involvement Activities |
Enter the date on which the participant is expected to complete community service. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 132 (Date Entered Other Community Involvement Activities). |
135 |
Date of Last Other Community Service Services During the Month |
Enter the last date during
the month in which the participant received other community
service services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 132 (Date Entered Other Community Involvement Activities). |
136 |
Date Ended Other Community Involvement Activities |
Enter the date on which the participant exits community service. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 132 (Date Entered Other Community
Involvement Activities). |
137 |
Completed Other Community Involvement Activities |
Select yes if the participant successfully completed community service.
Select no if the participant did not successfully complete community service. |
1 = Yes 2 = No |
A. Must not be blank if Field 136 (Date Ended Other Community Involvement Activities) is a valid date. |
Mentoring Activities |
|
|||
138 |
Date Entered Mentoring Activities |
Enter the date on which
the participant started mentoring activities. |
MM/DD/YYYY |
|
139 |
Expected Completion Date of Mentoring Activities |
Enter the date on which the participant is expected to complete mentoring activities. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 138 (Date Entered Mentoring Activities). |
140 |
Date of Last Mentoring Activities Services During the Month |
Enter the last date during
the month in which the participant received mentoring activities
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 138 (Date Entered Mentoring Activities). |
141 |
Date Ended Mentoring Activities |
Enter the date on which the participant exits mentoring activities. |
MM/DD/YYYY |
A. Must be blank or
greater than or equal to Field 138 (Date Entered Mentoring
Activities). |
142 |
Completed Mentoring Activities |
Select yes if the
participant successfully completed mentoring activities |
1 = Yes |
A. Must not be blank if Field 141 (Date Ended Mentoring Activities) is a valid date. |
Supportive Services |
|
|||
143 |
Date Entered Transportation Services |
Enter the date on which the participant started transportation services.
Transportation services include assistance or cash paid to participants for the purpose of transportation. |
MM/DD/YYYY |
|
144 |
Date of Last Transportation Services During the Month |
Enter the last date during
the month in which the participant received transportation
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 143 (Date Entered Transportation Services). |
145 |
Date Ended Transportation Services |
Enter the date on which the participant exits transportation services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 143 (Date Entered Transportation Services). |
146 |
Date Entered Child Care Services |
Enter the date on which the participant started child care services.
Child care services provide participants during program participation with child care that can be inside or outside the home, as well as after-school programs. It usually includes supervision and shelter. |
MM/DD/YYYY |
|
147 |
Date of Last Child Care Services During the Month |
Enter the last date during
the month in which the participant received child care services.
|
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 146 (Date Entered Child Care Services). |
148 |
Date Ended Child Care Services |
Enter the date on which the participant exits child care services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 146 (Date Entered Child Care Services). |
149 |
Date of Supportive Service Payment |
Enter the date on which
the participant received a supportive service payment. |
MM/DD/YYYY $XXX.XX 1 = Child Care 2 = Housing 3 = Clothing 4 = Food 5 = Transportation 6 = Other |
If date is entered, a monetary value must be entered and a type of service payment must be selected from a dropdown menu. If other is selected, the text box must be used to describe other service payment.
The system must allow for separate instances of supportive service payments and should not overwrite previous entries.
|
150 |
Date Entered Follow-up Mentoring Services |
Enter the date on which
the participant started follow-up mentoring services. |
MM/DD/YYYY |
|
151 |
Last Date of Follow-up Mentoring Services During Month |
Enter the last date during
the month in which the participant received follow-up mentoring
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 150 (Date Entered Follow-up Mentoring Services). |
152 |
Date Ended Follow-up Mentoring Services |
Enter the last date on which the participant received follow-up mentoring services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 150 (Date Entered Follow-up Mentoring Services). |
153 |
Date Entered Other Follow-up Services |
Enter the date on which
the participant started other follow-up services. |
MM/DD/YYYY |
|
154 |
Last Date of Other Follow-up Services During Month |
Enter the last date during
the month in which the participant received other follow-up
services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 153 (Date Entered Other Follow-up Services). |
155 |
Date Ended Other Follow-up Services |
Enter the last date on which the participant received other follow-up services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 153 (Date Entered Other Follow-up Services). |
156 |
Date Entered Other Supportive Services |
Enter the date on which the participant started other supportive services.
Other supportive services include supportive services not listed above. |
MM/DD/YYYY |
|
157 |
Date of Last Other Supportive Services During the Month |
Enter the last date during
the month in which the participant received other supportive
services . |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 156 (Date Entered Other Supportive Services). |
158 |
Date Ended Other Supportive Services |
Enter the date on which the participant exits other supportive services. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 156 (Date Entered Other Supportive Services). |
159 |
Date Entered Substance Abuse/Mental Health Treatment |
Enter the date on which the participant entered substance abuse or mental health treatment. |
MM/DD/YYYY |
If date is not blank, a text box must be filled out containing the name of the provider of treatment services |
160 |
Date Completed Substance Abuse/Mental Health Treatment |
Enter the date on which the participant completed substance abuse or mental health treatment. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 159 (Date Entered Substance Abuse/Mental Health Treatment). |
Case Management Services |
||||
161 |
Date Staff Contact/Meeting Occurred |
Enter the date on which the participant met with Case Manager or other staff and type of staff. |
MM/DD/YYYY 1 = Case Manager 2 = Job Developer/Coach 3 = Transitional Job Coordinator 4 = Other |
If other is selected, type of staff should be indicated in a text box.
The system must allow for separate instances of staff meetings and should not overwrite previous entries.
This service should be considered a supportive service, rather than a core service.
|
Parenting/Child Support Services |
||||
162 |
Child Support Order Assistance |
Enter the date on which the participant received child support order assistance. |
MM/DD/YYYY |
The system must allow for separate instances of child support assistance and should not overwrite previous entries.
|
163 |
Child Support Order Modification |
Enter the date on which the participant was granted a Child Support Order Modification. |
MM/DD/YYYY |
The system must allow for separate instances of child support order modification and should not overwrite previous entries.
|
164 |
Child Support Payment |
Enter the date on which the participant provided payment of a child support order and the amount of the payment. |
MM/DD/YYYY $0000.00 |
The system must allow for separate instances of child support and should not overwrite previous entries.
|
165 |
Child Support General Assistance |
Enter the date on which the participant received general (non-order) child support assistance. |
MM/DD/YYYY |
The system must allow for separate instances of child support assistance and should not overwrite previous entries. |
166 |
Child Visitation Assistance |
Enter the date on which the participant received assistance with child visitation. |
MM/DD/YYYY |
The system must allow for separate instances of child visitation assistance and should not overwrite previous entries. |
167 |
Parenting Class |
Enter the date on which the participant attended parenting class. |
MM/DD/YYYY |
The system must allow for separate instances of parenting class and should not overwrite previous entries. |
SECTION III – TRANSITIONAL JOB PLACEMENT |
||||
168 |
Work Dates and Placement |
Enter the start date and end dates of work in a pay period.
Enter the location of the transitional job placement.
Enter the type of placement: 1 = Grant Program/Worksite 2 = Private Sector Subsidized |
Start date of pay period MM/DD/YYYY End date of pay period MM/DD/YYYY Text Box |
|
169 |
Transitional Job Pay Date |
Enter the date of paycheck for each pay period |
MM/DD/YYYY |
|
170 |
Transitional Job Hours Worked |
Enter the number of hours worked in each pay period |
00 |
|
171 |
Amount of Pay Check |
Enter the value of the paycheck for each pay period |
$00.00 |
|
SECTION IV - PROGRAM OUTCOMES INFORMATION |
|
|||
SECTION IV.A - FOLLOW-UP |
|
|||
172 |
Date of Follow-up |
Enter the date on which
the grantee attempted to contact the participant to obtain
post-program follow-up information, such as post-program
employment and earnings information. |
MM/DD/YYYY |
A. Must be blank or greater than or equal to Field 63 (Date of Exit). |
173 |
Successful Follow-up |
Enter yes if the
grantee successfully contacted the participant to collect
follow-up information. |
1 = Yes |
A. Must be 1 or 2 if Field 172 (Date of Follow-up) has a valid date. |
SECTION IV.B - SHORT-TERM OUTCOME STATUS |
|
|||
174 |
Alcohol Abuse/ Drug Use at 6 Months |
Select yes if the
individual used illegal drugs or abused legal drugs or alcohol
within six months after enrollment. |
1 = Yes |
A. Must be 1 or 2 if Field 29 (Alcohol Abuse/ Drug Use at Intake) is 1, 2, or 3. |
175 |
Housing Status at 6 Months |
Select Own/Rent
Apartment, Room, Or House if, six months after enrollment,
the individual is living in an apartment, room, or house that
he/she owns or rents. |
1 = Own/rent apartment,
room, or house |
|
|
|
or a public or private
place not designated for or ordinarily used as a regular sleeping
accommodation for human beings. This definition does not include
an individual imprisoned or detained under an Act of Congress or
state law. An individual who may be sleeping in a temporary
accommodation while away from home should not, as a result of
that alone, be recorded as homeless. |
|
|
176 |
Date of Initial Placement Into Unsubsidized Employment |
Enter the date on which the participant started the initial unsubsidized employment. |
MM/DD/YYYY |
|
177 |
Employer Name for Initial Placement Into Unsubsidized Employment |
Enter the employer's name for the participant's initial placement into unsubsidized employment. |
Text |
A. Must not be blank if Field 176 (Date of Initial Placement Into Unsubsidized Employment) has a valid date. |
178 |
Employer Contact for Initial Placement Into Unsubsidized Employment |
Enter the contact information for the employer for the participant's placement into unsubsidized employment. |
Text |
|
179 |
Last Date of Employment for Initial Placement into Unsubsidized Employment |
Enter the last date on which the participant worked for the employer.
Enter the reason for placement end date. |
MM/DD/YYYY
1 = Quit 2 = Laid Off 3 = Terminated 4 = Temporary/Seasonal 5 = Incarcerated 6 = Other |
A. Must be blank or greater than or equal to Field 176 (Date of Initial Placement Into Unsubsidized Employment). |
180 |
Hourly Wage at Placement for Initial Placement into Unsubsidized Employment |
Enter the hourly wage for the initial unsubsidized employment at placement. |
00.00 |
A. Must be greater than 0 if Field 176 (Date of Initial Placement Into Unsubsidized Employment) has a valid date. |
181 |
Number of Hours Worked During the 1st Full Week in Initial Placement into Unsubsidized Employment. |
Enter the number of hours worked during the first full week for the initial job placement. |
00 |
A. Must be greater than 0 if Field 176 (Date of Initial Placement Into Unsubsidized Employment) has a valid date. |
182 |
Repeat Fields 176 to 181 for Additional Jobs |
Grantees must be able to collect the above job information for as many jobs as the participant has. |
|
Same edits as for Fields 176 to 181. |
183 |
Re-Arrested/ Re-Incarcerated |
Select Re-arrested for
a new crime if the participant is arrested for a new
crime. |
1 = Re-arrested for a new
crime |
|
184 |
Date Re-Arrested/ Re-Incarcerated |
Enter the date on which
the participant was re-arrested for a new crime or
re-incarcerated for a violation of parole or probation. |
MM/DD/YYYY |
A. Must not be blank if Field 183 (Re-Arrested/Re-Incarcerated) is 1 or 2. |
185 |
Date Entered Post-Secondary Education |
Enter the date on which
the participant enrolled in post-secondary education during
program participation.. |
MM/DD/YYYY |
|
SECTION III.C - POST-PROGRAM EMPLOYMENT AND JOB RETENTION DATA |
|
|||
186 |
Employed in First Quarter After Exit Quarter |
Select yes if the participant was employed in the first quarter after the quarter of exit.
|
1 = Yes |
A. Must be blank if Field 63 (Date of Exit) is blank.
|
187 |
Type of Employment Match First Quarter After Exit Quarter |
Use the appropriate code to identify the method used in determining the individual's employment status in the first quarter following the quarter of exit. If the individual is found in more than once source of employment, record the data source for which the individual's earnings are greatest. |
1 = UI Wage Records
(In-State and WRIS) |
A. If Field 186 (Employed
in First Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records. |
188 |
Date of Follow-up for First Quarter After the Exit Quarter Employment and Wage Information |
Enter the date on which
the grantee attempted to contact the participant or employer to
obtain information on employment and earnings for the 1st quarter
after the exit quarter post-program. |
MM/DD/YYYY |
A. Must not be blank if Field 186 (Employed in First Quarter After Exit Quarter) is 1.
|
189 |
Successful Follow-up for First Quarter After the Exit Quarter Employment and Wage Information |
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 1st quarter after the
exit quarter. |
1 = Yes |
A. Must not be blank if Field 188 (Date of Follow-up for First Quarter After the Exit Quarter Employment and Wage Information) is a valid date. |
190 |
Retention Bonus/Incentive Payment |
Enter date and amount of any retention bonus or incentive payment. |
MM/DD/YY $0000.00 |
|
191 |
Employed in Second Quarter After Exit Quarter |
Select yes if the participant was employed in the second quarter after the quarter of exit.
|
1 = Yes |
A. Must be blank if Field 63 (Date of Exit) is blank.
|
192 |
Type of Employment Match Second Quarter After Exit Quarter |
Use the appropriate code to identify the method used in determining the individual's employment status in the second quarter following the quarter of exit. If the individual is found in more than once source of employment, record the data source for which the individual's earnings are greatest. |
1 = UI Wage Records
(In-State and WRIS) |
A. If Field 191 (Employed
in Second Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records. |
193 |
Hours Worked First Full Week for the Second Quarter After the Exit Quarter. |
Enter the number of hours worked in the first full week of employment during the second quarter after the exit quarter. |
00 |
A. Must be >0 if Field 191 (Employed in Second Quarter After Exit Quarter) is 1. |
194 |
Hourly Wages First Full Week of Work for the Second Quarter After the Exit Quarter |
Enter the hourly wage for the job listed in the above element for in the first full week of employment during the second quarter after the exit quarter. |
00.00 |
A. Must be >0 if Field 191 (Employed in Second Quarter After Exit Quarter) is 1. |
195 |
Date of Follow-up for Second Quarter After the Exit Quarter Employment and Wage Information |
Enter the date on which
the grantee attempted to contact the participant to obtain
information on employment and earnings for the second quarter
after the exit quarter post-program. |
MM/DD/YYYY |
A. Must not be blank if Field 191 (Employed in Second Quarter After Exit Quarter) is 1.
|
196 |
Successful Follow-up for Second Quarter After the Exit Quarter Employment and Wage Information |
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 2nd quarter after the
exit quarter. |
1 = Yes |
A. Must not be blank if Field 195 (Date of Follow-up for Second Quarter After the Exit Quarter Employment and Wage Information) is a valid date. |
197 |
Employed in Third Quarter After Exit Quarter |
Select yes if the participant was employed in the third quarter after the quarter of exit.
|
1 = Yes |
A. Must be blank if Field 63 (Date of Exit) is blank.
|
198 |
Type of Employment Match Third Quarter After Exit Quarter |
Use the appropriate code to identify the method used in determining the individual's employment status in the third quarter following the quarter of exit. If the individual is found in more than once source of employment, record the data source for which the individual's earnings are greatest. |
1 = UI Wage Records
(In-State and WRIS) |
A. If Field 197 (Employed
in Third Quarter after Exit Quarter) is 1, then this field will
be auto-generated as 5 because of lack of wage records. |
199 |
Hours Worked First Full Week for the Third Quarter After the Exit Quarter |
Enter the number of hours worked in the first full week of employment during the third quarter after the exit quarter. |
00 |
A. Must be >0 if Field 197 (Employed in Third Quarter After Exit Quarter) is 1. |
200 |
Hourly Wages First Full Week of Work for the Third Quarter After the Exit Quarter |
Enter the hourly wage for the job listed in the above element for in the first full week of employment during the third quarter after the exit quarter. |
00.00 |
A. Must be >0 if Field 197 (Employed in Third Quarter After Exit Quarter) is 1. |
201 |
Date of Follow-up for Third Quarter After the Exit Quarter Employment and Wage Information |
Enter the date on which
the grantee attempted to contact the participant to obtain
information on employment and earnings for the 3rd quarter after
the exit quarter post-program. |
MM/DD/YYYY |
A. Must not be blank if Field 197 (Employed in Third Quarter After Exit Quarter) is 1.
|
202 |
Successful Follow-up for Third Quarter After the Exit Quarter Employment and Wage Information |
Enter yes if the
grantee successfully contacted the participant to collect
employment and earnings information for the 3rd quarter after the
exit quarter. |
1 = Yes |
A. Must not be blank if Field 201 (Date of Follow-up for Third Quarter After the Exit Quarter Employment and Wage Information) is a valid date. |
SECTION III.D -
POST-PROGRAM WAGE DATA |
|
|||
203 |
Wages First Quarter After Exit Quarter |
Record total earnings from wage records for the first quarter after the quarter of exit.
|
000000.00 |
A. This field will not be included in the system until grantees obtain access to wage records. |
204 |
Wages Second Quarter After Exit Quarter |
Record total earnings from wage records for the second quarter after the quarter of exit.
|
000000.00 |
A. This field will not be included in the system until grantees obtain access to wage records. |
205 |
Wages Third Quarter After Exit Quarter |
Record total earnings from wage records for the third quarter after the quarter of exit.
|
000000.00 |
A. This field will not be included in the system until grantees obtain access to wage records. |
SECTION III.E - EDUCATION AND CREDENTIAL DATA |
|
|||
206 |
Attained Diploma, GED, or Certificate #1 |
Select attained a secondary school diploma if the individual attained a secondary school (high school) diploma recognized by the state.
|
1 = Attained a secondary
school (high school) diploma. |
A. Must NOT be 1 or 2 if Field 16 (Highest School Grade Completed) is 16, 17, 87, 88, or 90. |
207 |
Date Attained Degree or Certificate #1 |
Record the date on which
the individual attained a diploma, GED, or certificate. |
MM/DD/YYYY |
A. Must be greater than Field 62 (Date of Program Participation) if Field 206 (Attained Diploma, GED, or Certificate #1) is 1, 2, or 3.
|
208 |
Specify the Name of Certificate #1 |
Specify the name of the
first certificate achieved. |
Text |
A. Must not be blank if Field 206 (Attained Diploma, GED, or Certificate #1) is 3. |
209 |
Attained Diploma, GED, or Certificate #2 |
Select attained a secondary school diploma if the individual attained a secondary school (high school) diploma recognized by the state.
|
1 = Attained a secondary
school (high school) diploma. |
A. Must NOT be 1 or 2 if Field 16 (Highest School Grade Completed) is 16, 17, 87, 88, or 90. |
210 |
Date Attained Degree or Certificate #2 |
Record the date on which
the individual attained a diploma, GED, or certificate. |
MM/DD/YYYY |
A. Must be greater than Field 62 (Date of Program Participation) if Field 209 (Attained Diploma, GED, or Certificate #2) is 1, 2, or 3.
|
211 |
Specify the Name of Certificate #2 |
Specify the name of the
second certificate achieved. |
Text |
A. Must not be blank if Field 209 (Attained Diploma, GED, or Certificate #2) is 1, 2, or 3. |
Enhanced Transitional Jobs Demonstration Optional Elements
No. |
DATA ELEMENT NAME |
DATA ELEMENT DEFINITIONS/INSTRUCTIONS |
VALID VALUES |
SECTION I - INDIVIDUAL INFORMATION |
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SECTION I.A - IDENTIFYING AND DEMOGRAPHIC INFORMATION |
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1 |
Citizen Status |
Select yes if the
individual is a U.S. citizen. |
1 = Yes |
2 |
Authorized to Work |
Select yes if the
individual has documentation showing that it is legal for him/her
to work in the U.S. |
1 = Yes |
SECTION I.B - ENROLLMENT INFORMATION |
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3 |
Distance Between Incarcerating Institution and ETJD Location |
Indicate the distance between the incarcerating institution and ETJD program location. |
1 = Within 20 miles 2 = 21-150 miles 3 = Further than 150 miles |
4 |
Personal Contact: Name |
Specify the name of a personal contact (family member or friend) who will know how to contact the individual. |
Text |
5 |
Personal Contact: Phone |
Enter the phone of the personal contact listed above. |
0000000000 |
6 |
Medical Benefits |
Indicate the types of health insurance coverage or medical benefits the individual has. Indicate all that apply. |
1 = Medicaid |
7 |
Mental Health Treatment |
Indicate whether individual has ever been admitted for psychiatric treatment or been prescribed psychiatric medication. |
1 = Yes |
8 |
Prior Criminal History: Number of Arrests |
Specify the number of times the participant has been arrested in his/her lifetime. |
00 |
9 |
Prior Criminal History: Number of Felony Arrests |
Of the total number of lifetime arrests, specify the number of times the participant has been arrested where the primary charge was a felony. |
00 |
10 |
Prior Criminal History: Number of Convictions |
Specify the number of times the participant has been convicted in his/her lifetime. |
00 |
11 |
Child Support Obligation at Enrollment: Number of Children |
Specify the number of children for whom the individual is obligated to pay child support. |
00 |
12 |
Child Support Obligation At Enrollment: Amount |
Specify the individual's current weekly child support obligation in dollars. |
0000.00 |
13 |
Pre-Release Services |
Indicate all types of transition or workforce preparation service received prior to release from incarceration. |
1 = Work Readiness |
14 |
Pre-release Services - GED Receipt |
Indicate whether the individual received a GED or high school diploma during most recent incarceration. |
1 = Yes 2 = No |
15 |
Release Conditions |
Indicate whether the individual was required to participate in any of the listed services as a condition of release from incarceration. |
1 = Drug testing |
16 |
Specify Other Release Conditions |
Specify other required
services as a condition of release from incarceration. |
Text |
SECTION I.C -
INFORMATION AT AND PRIOR TO INCARCERATION |
|||
17 |
Primary Income Prior to Incarceration |
Indicate the individual's primary source of income over the six months prior to incarceration. |
1 = Formal employment |
18 |
Other Primary Income Prior to Incarceration |
Specify the other primary
source of income over the six months prior to
incarceration. |
Text |
19 |
Public Assistance Prior to Incarceration |
Select the following types of public assistance the individual received during the six months prior to incarceration. |
1 = Social Security
Insurance (SSI) or Social Security Disability (SSD) |
20 |
Specify Other Government Sources of Public Assistance Prior to Incarceration |
Specify other government
sources of public assistance received during the six months prior
to incarceration. |
Text |
21 |
Amount of Public Assistance Prior to Incarceration |
Specify the amount of public assistance the individual received in a typical month during the six months prior to incarceration. |
0000.00 |
22 |
Duration of Public Assistance Prior to Incarceration |
Specify the number of months the individual received public assistance in the six months prior to incarceration. |
00 |
23 |
Types of Medical Benefits Prior to Incarceration |
Indicate the types of health insurance coverage or medical benefits the individual had during the six months prior to incarceration. Indicate all that apply. |
1 = Medicaid |
24 |
Most Recent Job Prior to Incarceration: Occupation |
Record the 8-digit
occupational code that best describes the individual's most
recent job prior to incarceration using the O*Net Version 4.0 (or
later versions) classification system. |
00000000 |
25 |
Most Recent Job Prior to Incarceration: Hours Worked |
Specify the typical number of hours worked per week at most recent job prior to incarceration. |
00 |
26 |
Most Recent Job Prior to Incarceration: Number of Weeks Worked |
Specify the number of weeks worked at the most recent job prior to incarceration. |
00 |
27 |
Most Recent Job Prior to Incarceration: Hourly Wage |
Specify the hourly wage for most recent job prior to incarceration. |
0000.00 |
28 |
Longest-Held Full-Time Job Prior to Incarceration: Occupation |
Record the 8-digit
occupational code that best describes the individual's longest
held full-time job prior to incarceration using the O*Net Version
4.0 (or later versions) classification system. |
00000000 |
29 |
Longest-Held Full-time Job Prior to Incarceration: Hourly Wage |
Specify the hourly wage for longest-held full-time job prior to incarceration. |
0000.00 |
30 |
Longest-Held Full-time Job Prior to Incarceration: Weeks Worked |
Specify the number of weeks worked at longest-held full-time job prior to incarceration. |
000 |
SECTION II - PROGRAM ACTIVITIES AND SERVICES INFORMATION |
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SECTION II.A - SERVICES AND OTHER RELATED ASSISTANCE DATA |
|||
Support Services |
|||
31 |
Health Services Since Enrollment |
Indicate health services received since enrollment. |
1 = Substance abuse
treatment |
32 |
Date of Most Recent Contact with Probation/Parole Officer |
Specify most recent date of case manager contact with probation/parole officer. |
MM/DD/YYYY |
33 |
Type of Contact with Probation/Parole Officer |
Indicate type of contact with probation/parole officer. |
1 = In person |
34 |
Specify Name of Probation/Parole Officer Contacted |
Specify name of probation/parole officer contacted. |
Text |
35 to 65 |
Repeat items 32 through 34 |
Repeat items 32 through 34 up to 10 times |
|
SECTION III - PROGRAM OUTCOMES INFORMATION |
|||
SECTION III.A - SHORT-TERM OUTCOME STATUS |
|||
66 |
Occupation for Initial Placement into Unsubsidized Employment |
Record the 8-digit
occupational code that best describes the individual's employment
at initial placement using the O*Net Version 4.0 (or later
versions) classification system. |
00000000 |
67 |
Occupation for Subsequent Placements into Unsubsidized Employment |
Record the 8-digit
occupational code that best describes the individual's employment
at subsequent placements into unsubsidized employment using the
O*Net Version 4.0 (or later versions) classification
system. |
00000000 |
68 |
Reason for Leaving Initial Placement in Unsubsidized Employment |
Indicate the reason why the individual left the initial placement. |
1 = Re-incarcerated |
69 |
Reason for Leaving Subsequent Unsubsidized Employments |
Specify the reason why the
participant left the subsequent employment. |
1 = Re-incarcerated |
70 |
Most Serious Charge for New Crime |
Indicate the most serious charge for the new crime identified in Field 183. |
1 = Burglary 2 = Larceny 3 = Motor vehicle theft 4 = Receiving stolen property 5 = Other property crime 6 = Possession of a controlled substance 7 = Trafficking a controlled substance 8 = Possession of drug paraphernalia 9 = Other drug crime 10 = Commercial vice 11 = Gambling 12 = Animal cruelty 13 = Driving while intoxicated 14 = Other public order offense 15 = Other offense |
71 |
Convicted of New Crime |
Indicate if the individual has been convicted of a new crime since enrolling in the program. |
1 = Yes |
72 |
Date Convicted of New Crime |
Enter the date of conviction of a new crime since enrolling in the program. |
MM/DD/YYYY |
73 |
Incarcerated After New Conviction |
Indicate if the individual has been incarcerated as a result of conviction for a new crime. |
1 = Yes |
74 |
Date Incarcerated After New Conviction |
Enter the date of incarceration as a result of conviction for a new crime. |
MM/DD/YYYY |
75 |
Date Released from Incarceration for New Crime |
Enter the date of release from incarceration for new crime. |
MM/DD/YYYY |
76 to 81 |
Repeat 70 through 75 |
Repeat items 70 to 75 as needed for each new crime. |
|
SECTION III.B - POST-PROGRAM EMPLOYMENT AND JOB RETENTION DATA |
|||
82 |
Mode of Contact for Follow-up for First Quarter After the Exit Quarter Employment and Wage Information |
Indicate how the grantee attempted to contact the participant or employer to obtain information on employment and earnings for the first quarter after the exit quarter post-program. |
1 = In person |
83 |
Mode of Contact for Follow-up for Second Quarter After the Exit Quarter Employment and Wage Information |
Indicate how the grantee attempted to contact the participant or employer to obtain information on employment and earnings for the second quarter after the exit quarter post-program. |
1 = In person |
84 |
Mode of Contact for Follow-up for Third Quarter After the Exit Quarter Employment and Wage Information |
Indicate how the grantee attempted to contact the participant or employer to obtain information on employment and earnings for the third quarter after the exit quarter post-program. |
1 = In person |
85 |
Received Public Assistance After Exit |
If the participant has received any form of public assistance at any time after exit from the program, indicate the type of assistance received. List all that apply. |
1 = Social Security
Insurance (SSI) or Social Security Disability (SSD) |
SECTION III.D - ADDITIONAL LITERACY AND NUMERACY ASSESSMENT DATA |
|||
86 |
Category of Assessment |
Select ABE if the participant was assessed using approved tests for Adult Basic Education (ABE).
|
1 = ABE |
87 |
Type of Assessment Test |
Use the appropriate code to record the type of assessment test that was administered to the participant.
|
1 = TABE 7-8, 9-10 |
88 |
Specify Other Assessment Tool |
Specify the type of other assessment test if other is selected above. |
Text |
89 |
Assessment Functional Area |
Use the appropriate code for the functional area of the assessment test that was administered to the participant.
|
1 = Reading |
90 |
Date Administered Pre-Test |
Record the date on which the pre-assessment test was administered to the participant.
|
MM/DD/YYYY |
91 |
Pre-Test Score |
Record the raw scale score achieved by the participant on the pre-assessment test.
|
000 |
92 |
Date Administered Post-Test |
Record the date on which the post-test was administered to the participant. If multiple post-tests were administered, record the most recent date on which the functional area post-test was administered.
|
MM/DD/YYYY |
93 |
Post-Test Score |
Record the raw scale score achieved by the participant.
|
000 |
File Type | application/msword |
File Title | Enhanced Transitional Jobs Demonstration Data Elements |
Author | smith.jenn |
Last Modified By | naradzay.bonnie |
File Modified | 2011-08-05 |
File Created | 2011-08-05 |