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

List only the number of new 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

Number of Youth who score higher on post-test indicating greater understanding of program ideals - defined by Pre and Post Test

Defined as attended three or more appointments

Briefly describe achievements for reporting period

Briefly describe program challenges for reporting period

Briefly describe any program improvements made during the reporting period

Were there any significant differences between last year and this year? If so, please describe

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