ETA-9159 Quarterly Narrative Progress Report ETA Form-9159

U.S. Department Labor
Employment and Training Administration
Form ETA-9159

OMB No. 1205-0489
Expiration Date: 07/31/2018

Quarterly Narrative Progress Report (Rounds 2, 3 and 4)
Trade Adjustment Assistance Community College and Career Training
(TAACCCT) Grants
Grantee Name:

Project Name:
First year measure

Grant Number:

Report Quarter Ending:

Date of Submission:

Program Contact Information:
First Name:

Last Name:

Title:

Street Address:

City:

State:

Phone Number:

Extension:

Zip Code:

E-mail Address:

A. Summary of Grant Activities
Please limit your response to 2,500 characters.

[This section is an executive summary of grant activities for the quarter, and should serve as the annual summary each
fourth quarter. In one page or less, please provide a short summary of all activities supported by the grant for the
current quarter, highlighting key activities in line with the grant Statement of Work. This section is not intended to be a
list of every meeting or communication. ]
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Form ETA-9159

B. Status Update on Leveraged Resources
Provide an update on the organizations that contributed the resources:

Please limit your response to 700 characters.
Provide an update on the ways in which the resources were used during the current quarter:

Please limit your response to 700 characters.
Comments:

Please limit your response to 700 characters.

[Leveraged resources must be reported on the Financial Status Report (ETA-9130) quarterly report. In addition, please
use this section of the narrative to report leveraged resources used to support grant activities. Leveraged resources
include both Federal and non-Federal funds, and may take the form of cash or in-kind contributions. Examples of in-kind
contributions include personnel services provided by volunteers or non-grantee staff, donated equipment, supplies, or
space.]

During this quarter, did you receive any additional leveraged resources beyond
what is listed in your statement of work?
Yes
No
C. Status Update on Employer(s) Involvement
Discuss how the required employer(s) has/have been involved during the current phase of the
project.

Please limit your response to 500 characters.
Outline specific roles and contributions of the employer(s) during this quarter.

Please limit your response to 500 characters.
Identify any challenges encountered/resolved in the development and management of the
employer involvement.

Please limit your response to 500 characters.
Discuss new employers and commitments that may have been added to support the project.

Please limit your response to 500 characters.
Comments:

Please limit your response to 700 characters.

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Form ETA-9159

Have you had any consultation or advisory meetings with business or employer
partners during this quarter?
Yes
No
Were there any direct hires of program of study completers by employer partners
during this quarter?
Yes
No
Were internships or other work-based learning opportunities posted during this
quarter?
Yes
No
Did you acquire any additional employer partners during this quarter?
Yes
No
D. Timeline for Grant Activities and Deliverables
ID# Activity/
Task/
Event

Description

Expected Expected
Start
End
Date
Date

Status as
of Qtr
Ending
Date

Actual Actual
Start
End
Date
Date

Notes

Please limit your
response to 250
characters per
activity/task/event.

[Additional rows for each activity/task/event from the Statement of Work; grantees
should update the cells in yellow]
ID#

Deliverable/
Product

Description

Expected
Start
Date

Expected
End
Date

Status
as of
Qtr
Ending
Date

Actual
Start
Date

Actual
End
Date

Notes

*Please limit
your response
to 250
characters per
deliverable

[Additional rows for each deliverable from the Statement of Work; grantee should update the cells in yellow]

Comments:

Please limit your response to 2,000 characters or less.

[Use this section to provide additional information about project goals, benchmarks, milestones, special events,
important deadlines and deliverables.]

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Form ETA-9159

How many programs are you planning to offer? This number should align with
your statement of work. ____________
As of this quarter, how many programs have you launched to date? ____________
E. Key Issues and Technical Assistance Needs
Issue: [

TOPIC AREA

Description of Problem:

Please limit your response to 300 characters.

[This section should be used to summarize the issue or problem encountered during the quarter and resolution of
previous issues and challenges identified in previous quarters. Describe any actions taken or plans for addressing issues,
any question you have for DOL, and any need for assistance from DOL or others. If grantees have nothing to report, that
should be specified.]

F. Best Practices, Promising New Strategies and Success Stories
Best Practice or Promising New Strategy:

TITLE OR TOPIC AREA

Please limit your response to 500 characters.

[This section should be used to describe promising approaches and innovative. Examples may include developing and
implementing an outreach plan, developing new or enhancing existing curriculum, and creating new career assistance
tools and resources. Throughout the implementation of the program, grantees may discover new strategies that emerge
as a result of data-driven continuous improvement. The new strategies may or may not have significant levels of
evidence at this point in the program; however, they should still be described here. As progress is made with a new and
promising strategy, or as data/evidence is gathered to support it, grantees should document the progress and
data/evidence each quarter. Grantees may also describe any lessons learned and how those lessons learned will be
implemented. ]

Success Story: how those lessons
TITLE
learned
OR TOPIC
will be
AREA
implemented. ]

Please limit your response to 500 characters.

[This section should be used to grant-level and/or participant level success stories].

G. Additional Outcome Information
Please limit your response to 700 characters.

[This section allows grantees to report any grant-specific outcomes not captured in other sections of the quarterly
narrative progress report, including, but not limited to, any specific outcomes included in the statement of work. For
every fourth quarterly report, this update may include additional information about activities and outcomes to
supplement data submitted on the Annual Performance Report form.]

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Form ETA-9159

H. Name of Grantee Certifying Official:

I.

First Name:

Last Name:

Telephone Number:

Extension:

J. E-mail Address:

Persons are not required to respond unless this form displays a currently valid OMB number. Obligation to respond is
required to obtain or retain benefits (Workforce Investment Act [Section 185(a)(2)]. Public reporting burden for this
collection of information, which is to assist with planning and program management and to meet Congressional and
statutory requirements, averages 22 hours per response, including time to review instructions, search existing data
sources, gather and maintain the data needed, and complete and review the collection of information. Send
comments regarding this burden estimate to the U.S. Department of Labor, ETA, Room N-4643, 200 Constitution
Avenue, NW, Washington, DC 20210.
-----------------------------------------------------------------------------------------------------------------------------------------------------------Privacy Act Statement: The Internal Revenue Code of 1986, Section 51, as amended and its enacting legislation, P.L.
104-188, specify that the State Workforce Agencies are the "designated" agencies responsible for administering the
WOTC certification procedures of this program. The information you have provided completing this form will be disclosed
by your employer to the State Workforce Agency. Provision of this information is voluntary. However the information is
required for your employer to receive the federal tax credit. IF THE INFORMATION YOU PROVIDE IS ABOUT A
MEMBER OF YOUR FAMILY, YOU SHOULD PROVIDE HIM/HER A COPY OF THIS NOTICE.

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Form ETA-9159