FY2024 Participant Unit Report - Social and Caregiver Services

FY2024 Participant Unit Report - Social and Caregiver Services

Quarterly reporting of participants and units served under OAA Title III and State Funds. This report is due by the 10th of the month in January, April, July, and October. Please contact the appropriate AgeWays Program Manager if you have any questions.

Quarter*

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Agency Name*

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Service*

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County Served*

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Updates/Activities/Gaps/Service Needs

Contracted Participants and Units

Are you currently under or overserved by 10% of your contracted participants and/or units? If yes, please explain why you are under or overserved.

Unduplicated/New Participants Served This Quarter*

Unduplicated Participants Served Year To Date*

Contracted Amount of Participants to be Served*

Number of Units Served This Quarter*

Number of Units Served Year To Date*

Contracted Number of Units to be Served*

Target/Underserved Population To Be Served*

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Black or African American Served This Quarter*

Black or African American Served Year To Date*

American Indian, Eskimo, Aleutian This Quarter*

American Indian, Eskimo, Aleutian Year To Date*

Asian Served This Quarter*

Asian Served Year To Date*

Native Hawaiian/Pacific Islander This Quarter*

Native Hawaiian/Pacific Islander Year To Date*

Hispanic or Latino This Quarter*

Hispanic or Latino Year To Date*

Multi-Racial This Quarter*

Multi-Racial Year To Date*

White/Non-Hispanic or Latino This Quarter*

White/Non-Hispanic or Latino Year To Date*

Participants in Poverty (100%) This Quarter*

Participants in Poverty (100%) Year To Date*

Participants in Poverty AND Minority This Quarter*

Participants in Poverty AND Minority Year To Date*

LGBT Participants This Quarter*

LGBT Participants Year To Date*

Limited English Proficiency This Quarter*

Limited English Proficiency Year To Date*

Person Submitting Report*

Email Address*

Submission Date*

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