Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) |
1 | Grant Number | Grant number as it appears on the appropriate Notice of Obligation (NOO) or equivalent official document from the U.S. Department of Labor | Y | |
2 | Project Name | Grant number as it appears on the appropriate Notice of Obligation (NOO) or equivalent official document from the U.S. Department of Labor | Y |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) |
3 | Grant Partner Street Address | Enter the Street Address of the Grant Partner | Y | |
4 | Grant Partner City | Enter the city of the Grant Partner | Y | |
5 | Grant Partner State | Enter the state of the Grant Partner | Y | |
6 | Grant Partner 5-Digit ZIP Code | Enter the 5 digit zip of the Grant Partner | Y | |
7 | Contact_Type | Valid Values: Grantee, Grant Partner, ProgramSponsor, Employer1….20, Pre-Apprentice Provider, RtiProvider | Y | |
8 | Grant Partner Contact Name | Enter the name of the Grant Partner's contact. | Y | |
9 | Grant Partner Contact Title | Enter the title of the Grant Partner's Contact. Contact Title refers to the business title such as "Chief Financial Officer" | Y | |
10 | Grant Partner Contact Telephone Number | Enter the area code (999) and telephone number (999-9999) of the Grant Partner | Y | |
11 | Grant Partner Contact Telephone Extension | If Applicable, enter the Grantee Partner telephone extension. | N | |
12 | Grant Partner Contact Fax Number | Enter the area code (999) and telephone number (999-9999) | N | |
13 | Grant Partner Contact Email Address | Enter the email address of the Grant Partner | Y | |
14 | Grant Partner Contact Street Address | Enter the Grant Partner's Contact's street address. This may or may not differ from the Grantee address. | Y | |
15 | Grant Partner Contact City | Enter the Grant Partner's Contact's city. This may or may not differ from the Grantee address. | Y | |
16 | Grant Partner Contact State | Enter the Grant Partner's Contact's state. This may or may not differ from the Grantee address. | Y | |
17 | Grant Partner Contact 5-Digit Zip Code | Enter the Grant Partner's 5-digit zip code. This may or may not differ from the Grantee address. | Y | |
18 | Grant Partner: Last Event Date | The date that the Grantee information was last modified | DATE MM/DD/YYYY |
Y |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) |
4 | Grantee Street Address | Street address as it appears on the appropriate NOO or equivalent official document from the U.S. Department of Labor | Y | |
5 | Grantee City | City mailing address as it appears on the appropriate NOO or equivalent official document from the U.S. Department of Labor | Y | |
6 | Grantee State | State mailing address as it appears on the appropriate NOO or equivalent official document from the U.S. Department of Labor | Y | |
7 | Grantee 5-Digit ZIP Code | ZIP code as it appears on the appropriate NOO or equivalent official document from the U.S. Department of Labor | Y | |
8 | Contact_Type | Valid Values: Grantee, ProgramSponsor, Employer1….20, Pre-Apprentice Provider, RtiProvider | Y | |
9 | Grantee Contact Name | Enter the name the grantee official that is certifying submission of the report to the Department. This contact is usually the Grant Signatory. This person must be available at the time of report submission and available to re-validate data that may be returned with errors. This available time-frame may include up-to three weeks after initial report submission. | Y | |
10 | Grantee Contact Title | Enter the title of the grantee official that is certifying submission of the report to the Department . Contact Title refers to the business title such as "Chief Financial Officer" | Y | |
11 | Grantee Contact Telephone Number | Enter the area code (999) and telephone number (999-9999) of the authorized official | Y | |
12 | Grantee Contact Telephone Extension | If Applicable, enter the authorized official's telephone extension | N | |
13 | Grantee Contact Fax Number | Enter the area code (999) and telephone number (999-9999) | N | |
14 | Grantee Contact Email Address | Enter the email address of the authorized official | Y | |
15 | Grantee Contact Street Address | Enter the Grantee Contact's street address. This may or may not differ from the Grantee address. | Y | |
16 | Grantee Contact City | Enter the Grantee Contact's city. This may or may not differ from the Grantee address. | Y | |
17 | Grantee Contact State | Enter the Grantee Contact's state. This may or may not differ from the Grantee address. | Y | |
18 | Grantee Contact 5-Digit Zip Code | Enter the Grantee Contact's 5-digit zip code. This may or may not differ from the Grantee address. | Y | |
19 | Grantee: Last Event Date | The date that the Grantee information was last modified | DATE MM/DD/YYYY |
Y |
Username | Username Associated with the Grantee |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) | |
Apprentice Program Sponsor | |||||
5 | Program Sponsor Name | This may or may not be the same of the Grantee name | Y | ||
Apprentice Information | |||||
11 | Apprentice First Name | Enter the first name of the apprentice | Y | ||
10 | Apprentice Middle Name | Enter the middle name of the apprentice | N | ||
9 | Apprentice Last Name | Enter the last name of the apprentice | Y | ||
12 | Apprentice Suffix | This is the suffix to the apprentice name. Values include I, II, III, Jr., Sr. Default is Null. | I II III Jr Sr | N | |
6 | Apprentice ID | A unique identifier for the apprentice *An apprentice must have only one apprentice id that associates all programs/occupations that the apprentice has been registered in. *The same apprentice cannot be registered in another program and/or occupation simultaneously. |
N | ||
13 | Apprentice Social Security Number | Enter the apprentice social security number. The value is 999999999 if the user does not supply a value it is set to 999999999 and the SSN Identifier is set to 'N' This value is to be encrypted. | xxxxxxxxx 999999999 = individual did not disclose |
N | |
23 | Date of Birth | Record the participant's date of birth Month value greater than 12 is not allowed. The largest date for each month is validated. Value larger than the largest date in each month is not allowed. January, March, May, July, August, October and December have 31 days. February has 29. April, June, and November have 30 days. |
YYYYMMDD |
Y | |
24 | Sex | Record 1 if the participant indicates that he is male Record 2 if the participant indicate that she is female Record 9 if the participant does not self-identify sex Leave blank if this data element does not apply to the person |
1 = Male 2 = Female 9 = Participant did not self-identify |
Y | |
35 | Employment Status | Enter participant's employment status. Incumbent workers are defined as existing employees of the company. | 1 = New Employee 2 = Existing Employee (Incumbent Worker) |
Y | *Remove incumbent worker status question |
7 | Apprentice Registration Date | Enter the date the apprentice was registered | Y | ||
8 | Apprentice Start Date | Enter the date that the apprentice began their apprenticeship. This date may be the same as the registration date, but cannot be prior to the registration date. | Y | ||
Career Connection (671) | Indicate any career connection (definitions follow). Enter “None” if no career connection applies. Pre-Apprenticeship. A program or set of strategies designed to prepare individuals to enter and succeed in a Registered Apprenticeship program which has or have a documented partnership(s) with a Registered Apprenticeship program(s). Technical Training School. Graduates trained in an occupation from a technical training school related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship. Military Veterans. Veterans that completed a military technical training school and/or elect to participate in the Building and Construction Trades Helmets to Hardhats Program or trained in an occupation while in the military related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship. Job Corps. Graduates trained in an occupation from a federally funded Job Corps center related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship. YouthBuild. Graduates trained in an occupation from a federally funded YouthBuild program related to an occupation registered by the sponsor and who meet the minimum qualifications for Registered Apprenticeship. HUD/STEP-UP. Applicants who successfully participated in the U.S. Department of Housing and Urban Development Step-Up program and received an apprenticeship experience which meets the minimum qualifications for Registered Apprenticeship. Career Center Referral. Includes career center participants referred to the Registered Apprenticeship Program and/or apprentice(s) that receive workforce system funded services that support their participation in a Registered Apprenticeship program. This may include the use of individual training accounts and/or on-the-job training reimbursements. School-to-Registered Apprenticeship. Program designed to allow high school youth ages 16 - 17 to enter a Registered Apprenticeship program and continue after graduation with full credit given for the high school portion. |
1 = None 2 = Pre-Apprenticeship 3 = Technical Training School 4 = Military Veterans 5 = Job Corps 6 = YouthBuild 7 = HUD/STEP-UP 8 = Career Center Referral 9 = School-to-Registered Apprenticeship |
|||
Contact Information | |||||
15 | Apprentice Street Address | Enter the apprentice's street address. | Y | ||
16 | Apprentice City | Enter the apprentice's city. | Y | ||
17 | Apprentice State | Enter the apprentice's state. | Y | ||
18 | Apprentice 5-Digit Zip Code | Enter the apprentice's 5-digit zip code. | Y | ||
19 | Apprentice Telephone Number (Home) | Enter the area code (999) and telephone number (999-9999) of the apprentice | Y | ||
20 | Apprentice Telephone Number (Mobile) | Enter the area code (999) and telephone number (999-9999) of the apprentice | N | ||
21 | Permission to contact via text message | Text messaging consent request | 1 = Yes 0 = No |
N | |
22 | Apprentice Email Address | Enter the email address of the apprentice | Y | ||
Demographics | |||||
26 | Ethnicity Hispanic / Latino | Record 1 if the participant indicates that he/she is a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race. Record 0 if the participant indicates that he/she does not meet any of these conditions. Record 9 if the participant does not self-identify his/her ethnicity. Leave blank if this data element does not apply to the person (covered entrants, TAA non participants) and the data is not available. |
1 = Yes 0 = No 9 = Participant did not self-identify |
N | |
27 | Race | Record 1 if the participant indicates that he/she is a person having origins in any of the original peoples of North America and South America (including Central America), and who maintains cultural identification through tribal affiliation or community recognition. Record 2 if the participant indicates that he/she is a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent (e.g.,, India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan). This area includes, for example, Cambodia, China, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Record 3 if the participant indicates that he/she is a person having origins in any of the black racial groups of Africa. Record 4 if the participant indicates that he/she is a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Record 5 if the participant indicates that he/she is a person having origins in any of the of the original peoples of Europe, the Middle East, or North Africa. Record 6 if the participant selects more than one race. Record 7 if the participant does not wish to answer. |
1 = American Indian or Alaska Native 2 = Asian 3 = Black or African American 4 = Native Hawaiian or Other Pacific Islander 5 = White 6 = More than one race 7 = Do not wish to answer |
Y | |
25 | Disability | Record 1 if the participant 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.) If the response is yes, answer data element #109. Record 0 if the participant indicates that he/she does not have a disability that meets the definition. Record 9 if the participant does not wish to disclose his/her disability status. Leave blank if this data element does not apply to the person and the data is not available. |
1 = Yes 0 = No 9 = Participant did not self-identify |
Y | *Move to demographic section |
33 | Veteran Status | Record 1 if the participant is a person who served on active duty in the armed forces and who was discharged or released from such service under conditions other than dishonorable. Record 0 if the participant does not meet the condition described above. Record 9 if participant does not disclose veteran status. Leave blank if this data element does not apply to the person and the data is not available. |
1 = Yes 0 = No 9 = Participant did not self-identify |
N | |
34 | Apprentice Education Attainment | Enter the apprentice's education status. Default Value = 5 for unknown/not provided. | 1 = 8th grade or less 2 = 9th to 12th grade 3 = GED 4 = high school diploma 5 = unknown 6 = Post Secondary or Technical Training |
N | *Move to demographics |
Apprentice Occupation Information | |||||
42 | Occupation 8-digit O*NET Code | Enter the 8-digit O*NET code that best fits the apprenticeable occupation (www.onetonline.org). NOTE: This code must match an occupation code registered by the program sponsor. | Y | ||
41 | Occupational Title | Specific title of an occupation that may or may not be the same as that designated by the O*NET data system (www.onetonline.org). NOTE: This title must match an occupation title registered by the program sponsor. | Y | ||
RAPIDS Occupation Code | Enter RAPIDS occupation code if known. | N | |||
44 | OJT credit | Enter the amount of On-The-Job credit, if any. The amount must not exceed the term length. Default value =0 | Y | ||
43 | RTI credit | Enter the amount of Related Technical Instruction credit, if any. This amount must not exceed the term length. Default value = 0. | Y | ||
Term Length | Enter number of hours based on the program sponsor’s training approach. Leave blank for competency-based occupations. | N | *Leave blank for competency-based occupations | ||
47 | Probationary Date | Enter the probationary date that corresponds to the occupation's probationary period as determined by the program sponsor and the apprentice's start date. | Y | ||
45 | Term Remaining | Calculate the length of the apprenticeship. The length is equal to the term length minus any credit given for past experience (OJT credit) and education (RTI credit). Leave blank for competency-based occupations. | N | *Leave blank for competency-based occupations | |
48 | Entry Wage | Enter the apprentices hourly starting wage. This wage cannot be less than the apprentice hourly entry wage for the occupation as established by the program sponsor. | Y | ||
46 | Expected Completion Date | This date is derived by adding the term length to the apprentice start date and subtracting any OJT and RTI credit the apprentice has gained prior to entering the program. The expected completion date cannot be prior to the registration or start date. | Y | ||
Employment History | *Change past education attainment to Employment History | ||||
46 | Weeks worked in 12 month period prior to Apprenticeship | How many weeks did the participant work in the prior 12 months? | Y | *Change section with this info | |
47 | Apprentice Earnings in the prior 12 months | Numeric field. Approximate total earnings for individual apprentice from work, including tips and overtime pay during the past 12 months. | $0 $1 to $9,999 $10,000 to $19,999 $20,000 to $29,999 $30,000 to $39,999 $40,000 to $49,999 $50,000 or over |
Y | *Change section with this info |
Employment status at participation | 1 = Employed 2 = Underemployed 3 = Long-term unemployed (27 weeks or more) 0 = Unemployed 9 = Unknown |
Y | *Change section with this info | ||
33 | Occupational Code of Most Recent Employment Prior to Participation (if available) | Enter the 8-digit O*NET code that best fits the apprenticeable occupation to which the individual trained (www.onetonline.org). NOTE: This code must match an Pre-Apprentice Provider occupation code. | N | *Change section with this info | |
Record 0 if the individual does not meet any of the conditions described above. |
0 = No |
||||
Dislocated workers may be included in this data element, if they meet the above criteria. Record 0 if the participant does not meet any of the conditions described above. |
0 = No |
||||
0 = No |
|||||
2 = Part-Time Blank = Data not available |
|||||
0 = No Blank = Data not available |
|||||
Apprentice Exit Form | |||||
Exit status | 1 = Complete 2 = Cancelled |
Y | *Change "current status" to "exit status" | ||
53 | Degree Attenuation | The highest academic degree level achieved. | 1= Associate 2= Undergraduate 3= Graduate 4= Doctorate 0 = None |
Y | *Replace years of college attended with degree attenuation |
56 | Received Interim Credential | These are credentials issued by the Registration Agency, upon request of the appropriate sponsor, as certification of competency attainment by an apprentice. Issued in the form of certificates, interim credentials provide portable recognition of an apprentice’s accomplishments. Interim credentials can only be issued for recognized components of an apprenticeable occupation. |
1 = Yes 0 = No |
Y | |
49 | Exit Wage | Enter the actual hourly wage paid to the participant at the time they either leave or complete the program. | Y | ||
50 | Exit Wage Date | Enter the date associated with the exit wage. This date can be less than or equal to the last event date. | Y | ||
51 | Employment Outcomes | Enter the employment outcome of the participant | 1 = Remain with current employer 2= Move to another employer |
Y | |
52 | Incumbent Worker Employment Outcome | As an Incumbent worker, enter whether or not the participant advanced into higher-skilled position | 1 = Yes 0 = No 9 = Unknown |
N |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) | Note |
Pre-Apprentice Provider Information | |||||
1 | Pre-Apprentice Provider Name | This may or may not be the same of the Grantee name | Y | ||
2 | Pre-Apprentice Provider Street Address | Enter the Pre-Apprentice Provider's street address. This may or may not differ from the Grantee address. | Y | ||
3 | Pre-Apprentice Provider City | Enter the Pre-Apprentice Provider's city. This may or may not differ from the Grantee address. | Y | ||
4 | Pre-Apprentice Provider State | Enter the Pre-Apprentice Provider's state. This may or may not differ from the Grantee address. | Y | ||
5 | Pre-Apprentice Provider 5-Digit Zip Code | Enter the Pre-Apprentice Provider's 5-digit zip code. This may or may not differ from the Grantee address. | Y | ||
6 | Direct Linkage | Enter if the program has a direct link to Registered Apprenticeship? | 1 = No pre-apprentices go to registered apprenticeship 2 = Some pre-apprentices go to registered apprenticeship 3 = Most pre-apprentices go to registered apprenticeship |
Y | |
7 | Program Type | Enter the program type. | 1 = For-Profit 2 = Not-for-Profit 3 = Others |
Y | |
Pre-Apprentice Provider Start Date | |||||
Contact Information | |||||
8 | Pre-Apprentice Provider Contact Title | Enter the title of the Pre-Apprentice Provider official that is certifying the apprentice data reported to the Department. Contact Title refers to the business title such as "Chief Financial Officer" | Y | ||
9 | Pre-Apprentice Provider Contact Name | Enter the name there-Apprentice Provider Contact. This contact may or may not be the Grant Signatory/Program Sponsor. This person must be available at the time of report submission and available to re-validate data that may be returned with errors. This available time-frame may include up-to three weeks after initial report submission. | Y | ||
10 | Pre-Apprentice Provider Contact Street Address | Enter the Pre-Apprentice Provider Contact's street address. This may or may not differ from the Pre-Apprentice Provider address. | Y | ||
11 | Pre-Apprentice Provider Contact City | Enter the Pre-Apprentice Provider Contact's city. This may or may not differ from the Pre-Apprentice Provider address. | Y | ||
12 | Pre-Apprentice Provider Contact State | Enter the Pre-Apprentice Provider Contact's state. This may or may not differ from the Pre-Apprentice Provider address. | Y | ||
13 | Pre-Apprentice Provider Contact 5-Digit Zip Code | Enter the Pre-Apprentice Provider Contact's 5-digit zip code. This may or may not differ from the Pre-Apprentice Provider address. | Y | ||
14 | Pre-Apprentice Provider primary Telephone Number | Enter the area code (999) and telephone number (999-9999) of the authorized official | Y | ||
15 | Pre-Apprentice Provider primary Telephone Extension | If Applicable, enter the authorized official's telephone extension | N | ||
16 | Pre-Apprentice Provider Contact Other Phone Number | Enter the area code (999) and telephone number (999-9999) | 1 = Mobile 2= Home 3 = Work |
N | |
17 | Pre-Apprentice Provider Contact Email Address | Enter the email address of the authorized official | Y | ||
18 | Pre-Apprentice Provider Permission to Contact via Text | Yes/No indicator to grant permission to contact via text message. | 1 = Yes 2 = No |
N | |
Pre-Apprentice Provider Type | |||||
19 | Pre-Apprentice Provider Type | Type(s) of Pre-Apprentice organization(s) providing service to participants. Check all that apply. | 1 -Apprenticeship sponsor 2 Postsecondary educational institution, non-profit 3 Business 4 Consortium of business 5 Postsecondary educational institution, for-profit 6 Community-based organization 7 Business-Related Nonprofit Organization 8 School district 9 Local workforce investment Board 10 Workforce intermediary 11 Tribal organization |
Y | |
Screening Information | |||||
20 | Drug/Alcohol Screening | Record 1 if the participant received drug/alcohol test at any time during participation in the pre-apprenticeship program Record 0 if the participant did not received drug/alcohol test at any time during participation in the pre-apprenticeship program Record 9 if information is missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
21 | Criminal Background Check | Record 1 if the a criminal background check was conducted on the participant at any time during participation in the pre-apprenticeship program Record 0 if the participant did not received a criminal background check at any time during participation in the pre-apprenticeship program Record 9 if information is missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
22 | Physical Examination | Record 1 if the participant received physical examination at any time during participation in the pre-apprenticeship program Record 0 if the participant did not received physical examination at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
Target Population | |||||
23 | Target Population(s) Served | Enter the target population(s) served. Check all that apply. | 1 = Women 2 = Men 3 = Minorities 4 = Youth 5 = People with Disabilities 6 = Ex-Offenders 7 = Veterans 8 = Other |
Y | |
24 | Describe "Other" category above | Describe the Target Population if "Other" is selected. | Y | ||
25 | Average Age | Enter the average age of the population served. | 1 = 16-19 2 = 20-24 3 = 25-34 4 = 35+ |
Y | |
26 | Supportive Services | Does your program provide supportive services? Such support services may include transportation, child care, dependent care, emergency housing, work clothing or uniforms, licensing or testing fees, medical and healthcare supportive services. | 1 = Yes 2 = No |
Y | |
27 | Referral Protocol | Does your program have a referral protocol in place to build basic skills and conduct remedial training for participants who did not score well on an assessment? | 1 = Yes 2 = No |
Y | |
28 | Skills Assessments | Does your program conduct skills assessments and Adult Basic Education tests to determine eligibility of participants? | 1 = Yes 2 = No |
Y | |
29 | Case Manager | Does your program have a case manager on staff to refer participants to support programs? | 1 = Yes 2 = No |
Y | |
30 | Readiness Checklists | Does your program use participant readiness checklists or standards? | 1 = Yes 2 = No |
Y | |
31 | Primary recruitment sources | What are the primary recruitment sources? Check all that apply. | 1 = High schools 2 = American Job Centers (One Stops) 3 = Community colleges 4 = Community-based organizations 5 = Word of mouth 6 = Other |
y | |
32 | Average Frequency of Case Management Contact | Enter the average frequency of case management for participants | 1 Weekly 2 Bi-weekly 3 Monthly 4 Bi-monthly 5 Less often than bi-monthly 6 Not applicable |
Y | |
33 | Case Management Average Caseload | Enter the average caseload for case managers | 1 = 0 2 = 1-25 3 = 26-49 4 = 50-74 5 = 75-99 6 = 100-124 7 = More than 125 |
Y | |
34 | Target apprenticeship occupation 1 (8-digit O*NET Code) | Enter the 8-digit O*NET code (www.onetonline.org) that best fits the primary apprenticeable occupation of the pre-apprenticeship training. NOTE: This code must match an occupation code registered by the program sponsor. | Y | ||
35 | 2 = No |
Check with Appian to ensure "Replicate Real Work Environment" removed from Target Population screen | |||
36 | *Check with Appian to ensure "Training Type" removed from Target Population screen | ||||
Program Services | |||||
37 | Work-Based Learning Opportunities | Type(s) of work-based learning opportunity(ies). Check all that apply. | 1 = Job Shadowing 2 = Clinical as a Part of Training 3 = Unpaid Internship or Externship 4 = Paid Internship or Externship 5 = On-the-job training 6 = Not applicable |
Y | |
38 | Program Services | Type(s) of skill(s) and service(s) provided by the Pre-Apprentice provider. Check all that apply. | 1 = Adult Basic Education 2 = Basic Skills Instruction 3 = Study Skills or Test Preparation Skills Instruction 4 = Work-Based Learning Experience 5 = Pre-Occupational Skills Instruction 6 = Occupational Skills Instruction (and check one of following) i. Courses for credit ii. Courses not for credit iii. Courses leading to non-degree certifications 7 = GED Instruction 8 = High school completion 9 = English as a Second Language 10 = Life Skills/ Job Readiness Instruction 11 = Work-Based Learning Experience 12 = Type of case management i. Academic advising ii. Career counseling/job development iii. Advising on personal issues iv. No case management provided |
Y | |
39 | |||||
40 | Occupational Training Providers | Type(s) of entity(ies) that will provide occupational training. Check all that apply. | 1 = pre-apprenticeship provider 2 = community college 3 = employment setting 4 = community-based organization 5 = private college 6 = ther private training provider 7 = Not Applicable |
Y | |
41 |
Data Element Number | Data Element Name | Data Definition and Instruction | Code Value | Required (Yes/No) | Note |
Select Pre-Apprentice Provider | |||||
5 | Pre-Apprentice Provider Name | This may or may not be the same as the Grantee name | Y | ||
Pre-Apprentice Information | |||||
9 | Pre-Apprentice First Name | Enter the first name of the pre-apprentice | Y | ||
10 | Pre-Apprentice Middle Name | Enter the middle name of the pre-apprentice | N | ||
8 | Pre-Apprentice Last Name | Enter the last name of the pre-apprentice | Y | ||
11 | Pre-Apprentice Suffix | This is the suffix to the pre-apprentice name. Values include I, II, III, Jr., Sr. Default is Null. | N | ||
12 | Pre-Apprentice Social Security Number | Enter the pre-apprentice social security number. The value is 999999999 if the user does not supply a value it is set to 999999999 and the SSN Identifier is set to 'N' This value is to be encrypted. | xxxxxxxxx 999999999 = individual did not disclose |
N | |
20 | Date of Birth | Record the participant's date of birth Leave blank if this data element does not apply to the person Month value greater than 12 is not allowed. The largest date for each month is validated. Value larger than the largest date in each month is not allowed. January, March, May, July, August, October and December have 31 days. February has 29. April, June, and November have 30 days. |
YYYYMMDD |
Y | |
21 | Sex | Record 1 if the participant indicates that he is male Record 2 if the participant indicate that she is female Record 9 if the participant does not self-identify gender Leave blank if this data element does not apply to the person |
1 = Male 2 = Female 9 = Participant did not self-identify |
Y | |
7 | Pre-Apprentice Start Date | Enter the date that the participant began their pre-apprenticeship. | Y | ||
25 | Individual with a Disability | Record 1 if the participant 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.) If the response is yes, answer data element #109. Record 0 if the participant indicates that he/she does not have a disability that meets the definition. Record 9 if the participant does not wish to disclose his/her disability status. Leave blank if this data element does not apply to the person and the data is not available. |
1 = Yes 0 = No 9 = Participant did not self-identify |
Y | Move disability question to characteristics section |
Contact Information | |||||
13 | Pre-Apprentice Street Address | Enter the pre-apprentice's street address. | Y | ||
14 | Pre-Apprentice City | Enter the pre-apprentice's city. | Y | ||
15 | Pre-Apprentice State | Enter the pre-apprentice's state. | Y | ||
16 | Pre-Apprentice 5-Digit Zip Code | Enter the pre-apprentice's 5-digit zip code. | Y | ||
17 | Pre-Apprentice Primary Telephone Number | Enter the area code (999) and telephone number (999-9999) of the pre-apprentice | Y | ||
Pre-Apprentice Secondary Phone Number | Enter the area code (999) and telephone number (999-9999) | Mobile Home Work |
N | ||
18 | Permission to contact via text message | Text messaging consent request | 1 = Yes 2 = No |
N | |
19 | Email Address of Pre-Apprentice | Enter the email address of the pre-apprentice | Y | ||
Pre-Apprentice Secondary Contact First Name | Enter the first name of the pre-apprentice secondary contact | N | |||
Pre-Apprentice Secondary Contact Last Name | Enter the last name of the pre-apprentice secondary contact | N | |||
Email Address of Pre-Apprentice Secondary Contact | Enter the email address of the pre-apprentice secondary contact | N | |||
Pre-Apprentice Secondary Contact Telephone Number | Enter the telephone number of the pre-apprentice secondary contact | N | |||
Characteristics | |||||
22 | Marital status | Check applicable marital status | 1 = currently married 2 = widowed 3 = divorced 4 = separated 5 = never married |
Y | |
23 | Number of children | Enter number of children | ##### | Y | |
26 | Ethnicity Hispanic / Latino | Record 1 if the participant indicates that he/she is a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race. Record 0 if the participant indicates that he/she does not meet any of these conditions. Record 9 if the participant does not self-identify his/her ethnicity. |
1 = Yes 0 = No 9 = Participant did not self-identify |
Y | |
27 | Race | Record 1 if the participant indicates that he/she is a person having origins in any of the original peoples of North America and South America (including Central America), and who maintains cultural identification through tribal affiliation or community recognition. Record 2 if the participant indicates that he/she is a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent (e.g.,, India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan). This area includes, for example, Cambodia, China, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Record 3 if the participant indicates that he/she is a person having origins in any of the black racial groups of Africa. Record 4 if the participant indicates that he/she is a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Record 5 if the participant indicates that he/she is a person having origins in any of the of the original peoples of Europe, the Middle East, or North Africa. Record 6 if the participant selects more than one race. Record 7 if the participant does not wish to answer. |
1 = American Indian or Alaska Native 2 = Asian 3 = Black or African American 4 = Native Hawaiian or Other Pacific Islander 5 = White 6 = More than one race 7 = Do not wish to answer |
Y | |
32 | Veteran Status | Record 1 if the participant is a person who served on active duty in the armed forces and who was discharged or released from such service under conditions other than dishonorable. Record 0 if the participant does not meet the condition described above. Record 9 if participant does not self-identify veteran status. |
1 = Yes 0 = No 9 = Participant did not self-identify |
Y | |
34 | Education | Enter the pre-apprentice's education status. | 5 = Unknown 1 = 8th Grade or Less 2= 9th to 12th Grade 3= GED 4= High School Diploma 6= Post Secondary or Technical |
Y | |
40 | Offender | Record 1 if the participant is a person who either (a) is or has been subject to any stage of the criminal justice process for committing a status offense or delinquent act, or (b) requires assistance in overcoming barriers to employment resulting from a record of arrest or conviction for committing delinquent acts, such as crimes against persons, crimes against property, status offenses, or other crimes. Record 0 if the participant does not meet any one of the conditions described above. Leave blank if this data element does not apply to the individual. |
1 = Yes 0 = No 9 = Unkown |
Y | |
41 | Low Income | Record 1 if the participant is a person who: (A) receives, or is a members of a family which receives, cash payments under a federal, state or local income-based public assistance program, or (B) received an income, or is a member of a family that received a total family income, for the six-month period prior to program participation (exclusive of unemployment compensation, child support payments, payments described in subparagraph A and old-age and survivors insurance benefits received under section 202 of the Social Security Act (42 U.S.C 402)) that, in relation to family size does not exceed the higher of (i) the poverty line, for an equivalent period, or (ii) 70 percent of the lower living standard income level, for an equivalent period; or (C) is a member of a household that receives (or has been determined within the 6-month period prior to program participation) Food Stamps under the Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.); or (D) qualifies as a homeless individual, as defined in subsections (a) and (c) of section 103 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302); or (E) is a foster child on behalf of whom State or local government payments are made; or (F) is a person with a disability whose own income meets the income criteria established in WIA section 101(25)(A) or (B), but is a member of a family whose income does not meet the established criteria. Record 0 if the participant does not meet the criteria presented above. Leave blank if this data element does not apply to the individual. |
1 = Yes 0 = No 9 = Unkown |
Y | |
42 | Limited English Language Proficiency | Record 1 if the participant 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. Record 0 if the participant does not meet the conditions described above. Leave blank if this data element does not apply to the individual. |
1 = Yes 0 = No 9 = Unkown |
Y | |
43 | Basic Literacy Skills Deficiency | Record 1 if the participant is a person who computes or solves problems, reads, writes, or speaks English at or below the 8th grade level or is unable to compute or solve problems, read, write, or speak English at a level necessary to function on the job, in the individual's family, or in society. In addition, states and grantees have the option of establishing their own definition, which must include the above language. In cases where states or grantees establish such a definition, that definition will be used for basic literacy skills determination. Record 0 if the participant does not meet the conditions described above. Leave blank if this data element does not apply to the individual. |
1 = Yes 0 = No 9 = Unkown |
Y | |
Public Program Participation | |||||
Temporary Assistance to Needy Families (TANF) | Record 1 if the participant is a person who is listed on the welfare grant or has received cash assistance or other support services from the TANF program in the last twelve months prior to participation in the program. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the individual. |
1= Currently receiving 2 = Received in last 12 months 9 = None |
Y | ||
35 | Supplemental Nutrition Assistance Program (SNAP) | Record 1 if the participant is a person who is listed on the welfare grant or has received cash assistance or other support services from the SNAP agency in the last twelve months prior to participation in the program. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the individual. |
1= Yes 0 = No 9 = Unknown |
Y | |
36 | Housing Assistance | Record 1 if the participant is a person who is listed on the welfare grant or has received housing assistance in the last twelve months prior to participation in the program. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the individual. |
1= Yes 0 = No 9 = Unknown |
Y | |
37 | Participation in other youth training programs | Record 1 if the participant is a person who has participated in other youth training programs such as YouthBuild or Job Corps in the last twelve months prior to participation in the program. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the individual. |
1= Yes 0 = No 9 = Unknown |
Y | |
38 | Supplemental Security Income(SSI) / Social Security Disability Insurance (SSDI) | Record 1 if the individual is a person who is receiving or has received SSI under Title XVI of the Social Security Act in the last twelve months prior to participation in the program. Record 2 if the individual is a person who is receiving or has received SSDI benefit payments under Title XIX of the Social Security Act in the last six months prior to participation in the program. Record 3 if the individual is receiving or has received both SSI and SSDI in the last six months prior to participation in the program. Record 0 if the individual does not meet any of the conditions described above. |
1 = SSI 2 = SSDI 3 = Both 0 = No 9 = Unknown |
Y | |
Record 0 if the participant does not meet the above criteria. Leave blank if this data element does not apply to the individual. |
0 = No Blank = Does Not Apply |
||||
44 | WIA/WIOA Participant (During Enrollment in Pre-Apprenticeship Program) | Record 1 if the participant received services financially assisted under WIA/WIOA. Record 0 or leave Blank if the participant did not receive services under the condition described above. Record 9 if grantee is unable to track enrollment in the program. |
1 = Yes 0 = No 9 = Unknown |
Y | |
45 | Wagner-Peyser Act | Record 1 if the participant received services financially assisted under the Wagner-Peyser Act (29 USC 49 et seq.) WIA section 121 (b)(1)(B)(ii). Record 0 if the participant did not receive services financially assisted under the Wagner-Peyser Act. Record 9 if grantee is unable to track enrollment in the program. |
1 = Yes 0 = No 9 = Unknown |
Y | |
Employment History | |||||
46 | Pre-Apprentice weeks worked in prior 12 months | How many weeks did the Pre-Apprentice work in the prior 12 months? | Y | ||
47 | Pre-Apprentice Earnings in the prior 12 months | Numeric field. Approximate total earnings for individual apprentice from work, including tips and overtime pay during the past 12 months. | $0 $1 to $9,999 $10,000 to $19,999 $20,000 to $29,999 $30,000 to $39,999 $40,000 to $49,999 $50,000 or over |
Y | |
Employment status at participation | 1 = Employed 0 = Unemployed 9 = Unknown |
Y | |||
33 | Occupational Code of Most Recent Employment Prior to Participation (if available) | Enter the 8-digit O*NET code that best fits the apprenticeable occupation to which the individual trained (www.onetonline.org). NOTE: This code must match an Pre-Apprentice Provider occupation code. | N | ||
Record 0 if the participant did not received drug/alcohol test at any time during participation in the pre-apprenticeship program Record 9 if information is missing or unknown. |
0 = No 9 = Unknown |
Y | |||
Record 0 if the participant did not received a criminal background check at any time during participation in the pre-apprenticeship program Record 9 if information is missing or unknown. |
0 = No 9 = Status not Known |
||||
Record 0 if the participant did not received physical examination at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
0 = No 9 = Unknown |
||||
Exit Form | |||||
Pre-Apprentice Final Status | CA = Cancelled CO = Completed |
Y | |||
72 | Pre-Apprenticeship End Date | Enter date the pre-apprentice completed/cancelled from the pre-apprenticeship program | YYYYMMDD |
Y | |
Program Outcome | Choose only one | 1 = entering registered apprenticeship program 2 = entering employment (not an apprenticeship) 3 = entering military 4 = entering further education 9 = Unknown |
|||
If apprenticeship/employment is choosen, is the program related to training? | 1 = Yes 0 = No 9 = Unknown |
Y | |||
51 | Receipt of Adult Basic Education (ABE) | Record 1 if the participant was enrolled in Adult Basic Education any time during participation in the pre-apprenticeship program Record 0 if the participant did not received Adult Basic Education at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
52 | GED Instruction | Record 1 if the participant was enrolled in GED instruction any time during participation in the pre-apprenticeship program Record 0 if the participant did not received GED instruction at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
53 | Hours of Classroom and Hands-On Instruction received | Enter number of hours of classroom and hands-on instruction participant received | #### | Y | |
54 | Number of Certificate/Credential Received | Enter certificate/Credential participant received upon completion of classroom and hands-on instruction | Y | Note: Update types as a table feature | |
63 | Type of Recognized Credential Received | Use the appropriate code to record the type of recognized educational or occupational certificate/credential/diploma attained by the individual who received training services. Record 0 if the individual received education or training services but did not receive a recognized credential. Credentials must be attained either during participation or by the end of the third quarter after the quarter of exit from services (other than follow up services). | 1 = High School Diploma/GED or other alternative HS credential 2 = Occupational Skills Licensure 3 = Occupational Skills Certificate/Credential 4 = Other Recognized Educational or Occupational Skills Certificate/Credential 0 = No Recognized Credential |
Y | |
55 | Receipt of English as a Second Language (ESL) | Record 1 if the participant was enrolled in English as a Second Language Instruction at any time during participation in the pre-apprenticeship program Record 0 if the participant did not received English as a Second Language instruction at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
56 | Receipt of Study Skills or Test Preparation Skills Instruction | Record 1 if the participant received instruction in study skills or test preparation instructionn\ any time during participation in the pre-apprenticeship program Record 0 if the participant did not received study skills or test preparation at any time during participation in the pre-apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
57 | Receipt of Pre-Occupational Skills or Basic Occupational Skills Instruction | Record 1 if the participant received classroom instruction and/or hands-on experience to prepare the individual for entry into an apprenticeship program Record 0 if the participant did not received classroom instruction and/or hands-on experience to prepare the individual for entry into an apprenticeship program Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
58 | Occupation 8-digit O*NET Code for Occupational Specific Training | Enter the 8-digit O*NET code that best fits the apprenticeable occupation to which the individual trained (www.onetonline.org). NOTE: This code must match an Pre-Apprentice Provider occupation code. | xx-xxxx.xx | Y | |
Leave blank if this data element does not apply to the person |
Blank = Does Not Apply |
||||
Leave blank if this data element does not apply to the person |
Blank = Does Not Apply |
||||
Record 0 if the participant did not received certificate of completion. Record 9 if information missing or unknown. |
0 = No 9 = Unknown |
||||
64 | Receipt of Life Skills/Job Readiness Instruction | Record 1 if the participant received job readiness or life skills instruction Record 0 if the participant did not received job readiness/life skills instruction Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
65 | Receipt of Work-Based Learning Experience | Record 1 if the participant work-based learning experience (including internship, work experience, job shadowing) Record 0 if the participant did not receive work-based learning experience Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
66 | Work-Based Learning Experience - Hours Received | Record the number of hours of work-based learning experience completed by the individual. | Y | ||
Support Services | |||||
67 | Receipt of Case Management Assistance | Record 1 if the participant received case management assistance Record 0 if the participant did not receive case management assistance Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
68 | Child Care Assistance | Record 1 if the participant received assistance with childcare paid for with AII grant funds Record 0 if the participant did not received assistance with childcare paid for with AII grant funds Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
69 | Transportation Assistance | Record 1 if the participant received transportation assistance (e.g, bus passes, gas reimburesement) paid for with AII grant funds Record 0 if the participant did not received assistance with childcarepaid for with AII grant funds Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
70 | Work Clothes/Tools/Equipment | Record 1 if the participant received work clothes/uniforms, work tools, or work equipment paid for with AII grant funds Record 0 if the participant did not received assistance with childcarepaid for with AII grant funds Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
71 | Other Supportive Services | Record 1 if the participant received supportive services paid for with AII grant funds Record 0 if the participant did not received assistance with childcarepaid for with AII grant funds Record 9 if information missing or unknown. |
1 = Yes 0 = No 9 = Unknown |
Y | |
Enter 2 if the participant is employed, but is not an apprentice in the first quarter after the quarter of program completion. Enter 0 if the participant is unemployed in the first quarter after the quarter of program completion. Record 3 if information on the participant’s employment status in the first quarter after the quarter of training program completion is not yet available. Leave "blank" if this data element does not apply to the individual (individual did not complete the program). |
2 = Employed in Other 0 = Unemployed 3 = Information not available |
||||
Enter 2 if the participant is employed, but is not an apprentice in the second quarter after the quarter of program completion. Enter 0 if the participant is unemployed in the second quarter after the quarter of program completion. Record 3 if information on the participant’s employment status in the second quarter after the quarter of training program completion is not yet available. Leave "blank" if this data element does not apply to the individual (individual did not complete the program). |
2 = Employed 0 = Unemployed 3 = Information not available |
||||
Enter 2 if the participant is employed, but is not an apprentice in the second quarter after the quarter of program completion. Enter 0 if the participant is unemployed in the second quarter after the quarter of program completion. Record 3 if information on the participant’s employment status in the second quarter after the quarter of training program completion is not yet available. Leave "blank" if this data element does not apply to the individual (individual did not complete the program). |
2 = Employed 0 = Unemployed 3 = Information not available |
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File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |