CalVIP Quarterly Progress ReportPart 3: Exits and Participant Outcomes

CalVIP Quarterly Progress Report

Part 3: Exits and Participant Outcomes

SECTION 1 - GRANTEE INFORMATION

1. Grantee Name*

Please select the name of the city/organization that received funding from the BSCC.

Select

2. Your Name*

3. Your Role(s)*

4. Phone #*

Phone

5. Email*

6. Reporting Period*

Select

6. Reporting Period*

Select

SECTION 2 - EXITING PARTICIPANTS

2.1 - Total Exits

1. Total Participants Exiting:

Record the number of participants exiting during the current reporting period based on the number of times they entered your project.

1a. From First Enrollment:*

If none, write "N/A".

1b. From Second or More Enrollment:*

If none, write "N/A".

2. Reason for First Time Exit:

Record the number of participants who exited your project for the FIRST TIME during the current reporting period.

The values in each item should be a non-duplicated count so the total of all values entered here should equal the value in item 1a in Section 2.1 (above).

If you don't have any participants exiting in a category, write "0".

2a. Successful Completion (active - still receiving services):*

2b. Successful Completion (inactive - no longer receiving services):*

2c. Dropped Out/Lost Contact:*

2d. Non-Compliant (asked to leave):*

2e. Arrest/Incarceration:*

2f. Services Determined Not Appropriate:*

2g. Other Reason for Exit:*

i. Please describe the individuals exiting in the “Other” category above.*

3. Reason for Second Time or More Exit:

Record the number of participants who exited your project for the SECOND TIME OR MORE during the current reporting period.

The values in each item should be a non-duplicated count so the total of all values entered here should equal the value in item 1b in Section 2.1 (above).

If you don't have any participants exiting in a category, write "N/A".

3a. Successful Completion (active - still receiving services):*

3b. Successful Completion (inactive - no longer receiving services):*

3c. Dropped Out/Lost Contact:*

3d. Non-Compliant (asked to leave):*

3e. Arrest/Incarceration:*

3f. Services Determined Not Appropriate:*

3g. Other Reason for Exit:*

i. Please describe the individuals exiting in the “Other” category above.

2.2 - Successful Exit Demographics

Record the demographic information AT ENTRY for all participants who successfully exited your project during the current reporting period for each enrollment category (FIRST TIME or SECOND TIME OR MORE).

The total of the numbers entered in each demographic section should equal the total number of participants successfully exiting from the relevant enrollment category (see items 2a/2b and 3a/3b in Section 2.1 above).

1. Age Ranges (At Entry) - First Time Exits

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter fell within each age range.

If no participants fell under a given age range, leave that item blank.

1a. 12 years or younger:

1b. 13-17 years:

1c. 18-24 years:

1d. 25-34 years:

1e. 35-44 years:

1f. 45 or more years:

1g. Age Group Unknown:

2. Age Ranges (At Entry) - Second Time or More Exits

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter fell within each age range.

If no participants fell under a given age range, leave that item blank.

2a. 12 years or younger:

2b. 13-17 years:

2c. 18-24 years:

2d. 25-44 years:

2e. 35-44 years:

2f. 45 or more years:

2g. Age Group Unknown:

3. Gender Identity (At Entry) - First Time Exits

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter identified as each gender category.

If no participants fell under a given category, leave that item blank.

3a. Female:

3b. Male:

3c. Non-Binary/3rd Gender:

3d. Unknown/Prefer not to state:

3e. Other Gender:

Please describe individuals in the "Other" category above:*

4. Gender Identity (At Entry) - Second Time or More Exits

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter identified as each gender category.

If no participants fell under a given category, leave that item blank.

4a. Female:

4b. Male:

4c. Non-Binary/3rd Gender:

4d. Unknown/Prefer not to state:

4e. Other Gender:

Please describe individuals in the "Other" category above:*

5. Race/Ethnicity (At Entry) - First Time Exits

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter identified as each race/ethnicity category.

If no participants fell under a given category, leave that item blank.

American Indian/Alaska Native:

Asian Groups

Chinese:

Japanese:

Filipino:

Korean:

Vietnamese:

Asian Indian:

Laotian

Cambodian:

Other Asian Group Race/Ethnicity:

Black/African American:

Hispanic, Latino, or Spanish:

Middle Eastern/North African:

Native Hawaiian/Pacific Islander Groups

Native Hawaiian:

Guamanian:

Samoan:

Native Hawaiian/Pacific Islander Group Race/Ethnicity:

White:

Other Identified ethnic origin, ethnicity, or race:

Multi-ethnic origin, ethnicity, or race:

Declined to State Race/Unknown:

6. Race/Ethnicity (At Entry) - Second Time or More Exits

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter identified as each race/ethnicity category.

If no participants fell under a given category, leave that item blank.

American Indian/Alaska Native:

Asian Groups

Chinese:

Japanese:

Filipino:

Korean:

Vietnamese:

Asian Indian:

Laotian:

Cambodian:

Other Asian Group Race/Ethnicity:

Black/African American:

Hispanic, Latino, or Spanish:

Middle Eastern/North African:

Native Hawaiian/Pacific Islander Groups

Native Hawaiian:

Guamanian:

Samoan:

Other Native Hawaiian/Pacific Islander Group Race/Ethnicity:

White:

Other identified ethnic origin, ethnicity, or race:

Multi-ethnic origin, ethnicity, or race:

Declined to State/Unknown:

7. Risk Groups (At Entry) - First Time Exits

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter fell within each risk category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

If your project does not assess risk level, skip this section.

Low Risk at Entry:

Medium Risk at Entry:

High Risk at Entry:

Other Description of Risk at Entry:

Please describe the "Other" category above:*

8. Risk Groups (At Entry) - Second Time or More Exits

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter fell within each risk category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

If your project does not assess risk level, skip this section.

Low Risk at Entry:

Medium Risk at Entry:

High Risk at Entry:

Other Description of Risk at Entry:

Please describe the "Other" category above:*

9. Education Status (At Entry) - First Time Enrollments

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter fell within each education status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Enrolled in Middle School:

Enrolled in High School:

Enrolled in a training Program:

Enrolled in a 2-/4-Year College:

Not Enrolled/Highest Completed - Middle School:

Not Enrolled/Highest Completed - Some High School:

Not Enrolled/Highest Completed - High School Diploma:

Not Enrolled/Highest Completed - GED:

Not Enrolled/Highest Completed - Some College/Vocational Training:

Not Enrolled/Highest Completed - Certificate/College Degree:

Unknown Education Status at Entry:

10. Education Status (At Entry) - Second Time or More Enrollments

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter fell within each education status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Enrolled in Middle School:

Enrolled in High School:

Enrolled in a Training Program:

Enrolled in a 2-/4-Year College:

Not enrolled/Highest Completed - Middle School:

Not Enrolled/Highest Completed - Some High School:

Not Enrolled/Highest Completed - High School Diploma:

Not Enrolled/Highest Completed - GED:

Not Enrolled/Highest Completed - Some College/Vocational Training:

Not Enrolled/Highest Completed - Certificate/College Degree:

Unknown Education Status at Entry:

11. Employment Status (At Entry) - First Time Enrollments

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter fell within each employment status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Employed - Not Looking for Other/Additional Employment:

Employed - Looking for Other/Additional Employment:

Unemployed - Looking for Employment:

Unemployed - Not Looking for Employment:

Unknown Employment Status at Entry:

12. Employment Status (At Entry) - Second Time or More Enrollments

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter fell within each employment status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Employed - Not Looking for Other/Additional Employment:

Employed - Looking for Other/Additional Employment:

Unemployed - Looking for Employment:

Unemployed - Not Looking for Employment:

Unknown Employment Status at Entry:

13. Housing Status (At Entry) - First Time Enrollments

Indicate how many individuals successfully exiting your project FOR THE FIRST TIME during the current reporting quarter fell within each housing status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Living Independently (own/rent):

Living with Original Caregiver/Parent(s):

Living with Relatives (not foster care):

Living with a Friend:

Living in Foster Care:

Permanent Supportive Housing:

Sober Living Home:

Transitional/Bridge/Rapid Rehousing:

Unhoused/Homeless (car, street, abandoned building, tent, etc.):

Unknown Housing Status at Entry:

Other Housing Status at Entry:

Please describe the "Other" category above:*

14. Housing Status (At Entry) - Second Time or More Enrollments

Indicate how many individuals successfully exiting your project FOR THE SECOND TIME OR MORE during the current reporting quarter fell within each housing status category when they enrolled.

If no participants fell under a given category during enrollment, leave that item blank.

Living Independently (own/rent):

Living with Original Caregiver/Parent(s):

Living with Relatives (not foster care):

Living with a Friend:

Living in Foster Care:

Permanent Supportive Housing:

Sober Living Home:

Transitional/Bridge/Rapid Rehousing:

Unhoused/Homeless (car, street, abandoned building, tent, etc.):

Unknown Housing Status at Entry:

Other Housing Status at Entry:

Please describe the "Other" category above:*

SECTION 3 - OUTCOMES

Of the participants who successfully completed the project during the current reporting period (items 1a and 1b in Section 2.1 above), enter the total number of participants who demonstrated the positive outcomes listed below as applicable for your project workplan/goal(s) for those participants.

1. Positive Outcomes - First Time Enrollments

a. Did not recidivate while enrolled:

b. Reduced number of violent incidents while enrolled:

c. Reduced at-risk/criminal behaviors while enrolled:

d. Reduced levels of gang involvement:

e. Improved academic status:

f. Improved employment status:

g. Increased protective factors:

h. Other Positive Outcomes:

Please describe the positive outcomes that fell into the "Other" category above:*

2. Positive Outcomes - Second Time or More Enrollments

a. Did not recidivate while enrolled:

b. Reduced number of violent incidents while enrolled:

c. Reduced at-risk/criminal behaviors while enrolled:

d. Reduced levels of gang involvement:

e. Improved academic status:

f. Improved employment status:

g. Increased protective factors:

h. Other Positive Outcomes:

Please describe the positive outcomes that fell into the "Other" category above:*

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