List only the number of clients carried over from previous fiscal year

List only the number of clients enrolled in program during current reporting period

List total number discharged or ended involvement for any reason - successfully, unsuccessfully, or neutrally

Of the total number discharged, or ended involvement, list how many were successful. Successful completion defined as: Complete assignments, come regularly to class, keep continued communication with facilitator, engage with the rest of the people in the class on a regular basis

List number who continue to be engaged and will receive services in next reporting period

Briefly describe achievements for reporting period

Briefly describe program challenges for reporting period

Briefly describe any program improvements for reporting period

Optional field to share additional info such as a story demonstrating how people have benefited from program

List name of staff member providing data on this form

List email address of staff member providing data on this form

List phone number for staff member providing data on this form