All Authorized Activities

Line 1. Enter the number of people who enrolled and enter the number of people who completed across all Authorized Activities during this reporting period prior to being released from prison. If you did not collect this data, check the box “data not collected”. Enter the number of people who enrolled and enter the number of people who completed across all Authorized Activities during this reporting period after being released from prison. If you did not collect this data, check the box “data not collected”.

Line 2.a. Sex. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who were female, and enter the number that were male. If you did not collect this data, check the box “data not collected”.

Line 2.b. Age. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who were under 18 years of age; 18-24 years; 25-34 years; 35-44 years; 45-54 years; 55-64 years;, and 65 years or older. If you did not collect this data, check the box “data not collected”.

Line 2.c. Marital Status. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who were single/never married; in a committed relationship but not married; married; separated; divorced; and widowed. If you did not collect this data, check the box “data not collected”.

Line 2.d. Ethnicity. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who are Hispanic and Non-Hispanic. If you did not collect this data, check the box “data not collected”.

Line 2.e. Race. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who are American Indian or Alaskan Native; Asian; Black or African American; Native Hawaiian or other Pacific Islander; and White. If you did not collect this data, check the box “data not collected”.

Line 2.f. Educational Attainment. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people that had No degree or diploma; High School diploma or GED; Vocational or Technical Certification; Associate’s degree; Bachelor’s degree; and a Master’s or Advanced degree. If you did not collect this data, check the box “data not collected”.

Line 2.g. Employment Status Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people who had full-time employment; part-time employment; who were retired; student; disabled; and unemployed. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 1 Line 2.h. Income. Of those who enrolled during this reporting period across all Authorized Activities, enter the number of people whose income was less than $10,000; $10,000-$19,999; $20,000-$29,999; $30,000-$39,999; $40,000-$49,999; $50,000-$59,999; $60,000-$69,999; $70,000-$79,999; and more than $80,000. If you did not collect this data, check the box “data not collected”.

Authorized Activity 1: Activities to promote healthy marriage or sustain marriage, such as skill-based marriage education, marriage preparation programs, counseling, relationship skill education, education on controlling aggressive behavior within the context of marriage; and divorce education and reduction programs.

Section A: Demographic Information

Line 1.a. Sex. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who were female, and enter the number that were male. If you did not collect this data, check the box “data not collected”.

LIne 1.b. Age. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who were under 18 years of age; 18-24 years; 25-34 years; 35-44 years; 45-54 years; 55-64 years; and 65 years or older. If you did not collect this data, check the box “data not collected”.

Line 1.c. Marital Status. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who were single/never married; in a committed relationship but not married; married; separated; divorced; and widowed. If you did not collect this data, check the box “data not collected”.

Line 1.d. Ethnicity. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who are Hispanic and Non-Hispanic. If you did not collect this data, check the box “data not collected”.

Line 1.e. Race. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who are American Indian or Alaskan Native; Asian; Black or African American; Native Hawaiian or other Pacific Islander; and White. If you did not collect this data, check the box “data not collected”.

Line 1.f. Educational Attainment. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people that had No degree or diploma; High School diploma or GED; Vocational or Technical Certification; Associate’s degree; Bachelor’s degree; and a Master’s or Advanced degree. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 2 Line 1.g. Employment Status. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who had full-time employment; part-time employment; who were retired; student; disabled; and unemployed. If you did not collect this data, check the box “data not collected”.

Line 1.h. Income. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people whose income was less than $10,000; $10,000-$19,999; $20,000- $29,999; $30,000-$39,999; $40,000-$49,999; $50,000-$59,999; $60,000-$69,999; $70,000- $79,999; and more than $80,000. If you did not collect this data, check the box “data not collected”.

Section B: Activities and Skills Received

Line 2. Enter the number of people who enrolled and enter the number of people who completed Authorized Activity 1during this reporting period prior to being released from prison. If you did not collect this data, check the box “data not collected”.

Line 3.a.1. Abuse prevention skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Case management for Abuse prevention skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.2. Abuse prevention skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Curricula- based training for Abuse prevention skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.3. Abuse prevention skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Mentoring/Counseling for Abuse prevention skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.4. Abuse prevention skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who participated in Peer group meetings for Abuse prevention skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.1. Budgeting/financial skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Budgeting/financial skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.2.. Budgeting/financial skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Curricula- based training for Case management for Budgeting/financial skills services. If you did not

Instructions for Completion of Reentry Authorized Activity Questions 3 collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.3. Budgeting/financial skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Mentoring/Counseling for Budgeting/financial skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.4. Budgeting/financial skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who participated in Peer group meetings for Budgeting/financial skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.1. Communication skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Case management for Communication skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.2i. Communication skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Curricula-based training for Communication skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.3. Communication skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Mentoring/Counseling for Communication skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.4. Communication skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who participated in Peer group meetings for Communication skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.d.1. Conflict resolution skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received case management for Conflict resolution skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.d.2. Conflict resolution skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Curricula- based training for Conflict resolution skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.d.3. Conflict resolution skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who received Mentoring/Counseling for Conflict resolution skills services. If you did not collect this data, check

Instructions for Completion of Reentry Authorized Activity Questions 4 the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.d.4. Conflict resolution skills. Of those who enrolled and completed during this reporting period for Authorized Activity 1, enter the number of people who participated in Peer group meetings for Conflict resolution skills services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.a. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in Family Reunification Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.b. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in Housing Assistance Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.c. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in Local Child Support Agency Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.d. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in Public Housing Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.e. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in U.S. Department of Housing and Urban Development (HUD) Program Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.f. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in U.S. Department of Justice Grantee Services (e.g. Second Chance Act). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.g. Of those who enrolled in Authorized Activity 1, enter the number of people who participated in U.S. Department of Labor Grantee Services (e.g. ReXO Project). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Section C: Improved Attitudes and Skills

Line 5.a. Of those who completed Abuse prevention skills, enter the number of people who showed improvement for Authorized Activity 1. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 5.a.1. Enter the number of individuals who completed a post-test for abuse prevention skills. If no post-test was conducted, check the box “not applicable”.

Instructions for Completion of Reentry Authorized Activity Questions 5 Line 5.b. Of those who completed Budgeting/financial skills, enter the number of people who showed improvement for Authorized Activity 1. If you did not collect this data, check the “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 5.b.1. Enter the number of individuals who completed a post-test for budgeting/financial skills. If no post-test was conducted, check the box “not applicable”.

Line 5.c. Of those who completed Communication skills, enter the number of people who showed improvement for Authorized Activity 1. If you did not collect this data, check the box t “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 5.c.1. Enter the number of individuals who completed a post-test for communication skills. If no post-test was conducted, check the box “not applicable”.

Line 5.d Of those who completed Conflict resolution skills, enter the number of people who showed improvement for Authorized Activity 1. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 5.d.1. Enter the number of individuals who completed a post-test for conflict resolution skills. If no post-test was conducted, check the box “not applicable”.

Line 6.a. Of those who completed Authorized Activity 1, enter the number of people who showed improvement in attitudes towards marriage or commitment to marriage stability. If you did not collect this data, check the box “data not collected”.

Line 6.a.1. For Authorized Activity 1, enter the number of people who completed the post-test that showed improvement in their attitudes towards marriage or commitment to marriage stability. If no post-test was conducted, check the box “not applicable”.

Line 6.b. Of those who completed Authorized Activity 1, enter the number of people who showed improvement in their relationship with their spouse/fiancé/partner/co-parent?. If you did not collect this data, check the box “data not collected”.

Line 6.b.1. For Authorized Activity 1, enter the number of people who completed the post-test that showed improvement in their relationship with their spouse/fiancé/partner/co-parent. If no post-test was conducted, check the box “not applicable”.

Line 6.c. Of those who completed Authorized Activity 1, enter the number of people who showed improvement in being hopeful about their life improving in the future. If you did not collect this data, check the box “data not collected”.

Line 6.c.1. For Authorized Activity 1, enter the number of people who completed the post-test that showed improvement in being hopeful about their life improving in the future. If no post-test was conducted, check the box “not applicable”.

Line 6.d. Of those who completed Authorized Activity 1, enter the number of people who showed improvement in post-prison adjustment (coping skills). If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 6 Line 6.d.1. For Authorized Activity 1, enter the number of people who completed the post-test that showed improvement in post-prison adjustment (coping skills). If no post-test was conducted, check the box “not applicable”.

Line 7. Please discuss in detail how your program measured improvement in Healthy Marriage skills, attitudes towards marriage or commitment to marriage stability, and relationship with the spouse/fiancé/partner/co-parent for Authorized Activity 1.

Line 8. Attach a copy of any instruments that your program used to measure improvement in marriage skills, attitudes towards marriage or commitment improvement, and relationship improvement for Authorized Activity 1.

Authorized Activity 2: Activities to promote responsible parenting, such as skill-based parenting education; disseminating information about good parenting practices; counseling, mentoring and mediation; disseminating information on the causes of domestic violence and child abuse; and encouraging child support payments.

Line 1.e. Race. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who are American Indian or Alaskan Native; Asian; Black or African American; Native Hawaiian or other Pacific Islander; and White. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 7 Line 1.f. Educational Attainment. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people that had No degree or diploma; High School diploma or GED; Vocational or Technical Certification; Associate’s degree; Bachelor’s degree; and a Master’s or Advanced degree. If you did not collect this data, check the box “data not collected”.

Line 1.g. Employment Status. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who had full-time employment; part-time employment; who were retired; student; disabled; and unemployed. If you did not collect this data, check the box “data not collected”.

Line 2. Enter the number of people who enrolled and enter the number of people who completed Authorized Activity 2 during this reporting period prior to being released from prison. If you did not collect this data, check the box “data not collected”. Enter the number of people who enrolled and enter the number of people who completed Authorized Activity 2 during this reporting period after being released from prison. If you did not collect this data, check the box “data not collected”.

Line 3.a. Case management. Of those who enrolled and completed parenting activities, enter the number of people who received Case management services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b. Curricula-based training. Of those who enrolled and completed parenting activities, enter the number of people who received Curricula-based training services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c. Mediation. Of those who enrolled and completed parenting activities, enter the number of people who received Mediation services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.d. Mentoring/life skills/coaching. Of those who enrolled and completed parenting activities, enter the number of people who received Mentoring/life skills/coaching services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.e. Peer group meeting. Of those who enrolled and completed parenting activities, enter the number of people who received peer group meeting services. If you did not collect this data,

Instructions for Completion of Reentry Authorized Activity Questions 8 check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.a. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in Child-directed play Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.b. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in Father-child Reunification Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.c. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in Local Child Support Agency Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.d. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in Public Housing Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.e. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in U.S. Department of Housing and Urban Development (HUD) Program Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.f. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in U.S. Department of Justice Grantee Services (e.g. Second Chance Act). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.g. Of those who enrolled in Authorized Activity 2, enter the number of people who participated in U.S. Department of Labor Grantee Services (e.g. ReXO Project). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Section C: Improved Attitudes and Skills

Line 5.a. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in attitudes towards marriage or commitment to marriage stability. If you did not collect this data, check the box “data not collected”.

Line 5.a.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in their attitudes towards marriage or commitment to marriage stability. If no post-test was conducted, check the box “not applicable”.

Line 5.b. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in their relationship with their spouse/fiancé/partner/co-parent. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 9 Line 5.b.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in their relationship with their spouse/fiancé/partner/co-parent. If no post-test was conducted, check the box “not applicable”.

Line 5.c. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in being hopeful about their life improving in the future. If you did not collect this data, check the box “data not collected”.

Line 5.c.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in being hopeful about their life improving in the future. If no post-test was conducted, check the box “not applicable”.

Line 5.d. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in adjusting to post-prison life (coping skills and self-management skills). If you did not collect this data, check the box “data not collected”.

Line 5.d.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in adjusting to post-prison life (coping skills and self-management skills). If no post-test was conducted, check the box “not applicable”.

Line 5.e. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in being hopeful about their life improving in the future. If you did not collect this data, check the box “data not collected”.

Line 5.e.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in being hopeful about their life improving in the future. If no post-test was conducted, check the box “not applicable”.

Line 5.f. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in their knowledge of child support enforcement. If you did not collect this data, check the box “data not collected”.

Line 5.f.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in their knowledge of child support enforcement. If no post-test was conducted, check the box “not applicable”.

Line 5.g. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in their parenting knowledge and skills. If you did not collect this data, check the box “data not collected”.

Line 5.g.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in their parenting knowledge and skills. If no post-test was conducted, check the box “not applicable”.

Line 5.h. Of those who completed Authorized Activity 2, enter the number of people who showed improvement in their relationship with their child[ren]. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 10 Line 5.h.1. For Authorized Activity 2, enter the number of people who completed the post-test that showed improvement in their relationship with their child[ren]. If no post-test was conducted, check the box “not applicable”.

Line 6. Please discuss in detail how your program measured improvement in parenting skills, commitment to fatherhood, relationship with child[ren], contact with child[ren] and knowledge of child support enforcement for Authorized Activity 2.

Line 7. Attach a copy of any instruments that your program used to measure improvement in parenting skills, commitment to fatherhood, relationship with child[ren], contact with child[ren] and knowledge of child support enforcement for Authorized Activity 2.

Authorized Activity 3: Activities to foster economic stability, such as providing activities to help fathers improve their economic status such as Work First services, job search, job training, subsidized employment, job retention and job enhancement; encouraging education, including career-advancement education; coordinating with existing employment services, such as welfare-to-work programs, referrals to local employment training initiatives; offering financial planning seminars, including counseling, or mentoring on matters related to family finances.

Instructions for Completion of Reentry Authorized Activity Questions 11 Line 1.e. Race. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who are American Indian or Alaskan Native; Asian; Black or African American; Native Hawaiian or other Pacific Islander; and White. If you did not collect this data, check the box “data not collected”.

Line 1.f. Educational Attainment. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people that had No degree or diploma; High School diploma or GED; Vocational or Technical Certification; Associate’s degree; Bachelor’s degree; and a Master’s or Advanced degree. If you did not collect this data, check the box “data not collected”.

Line 1.g. Employment Status. Of those who enrolled during this reporting period for Authorized Activity 1, enter the number of people who had full-time employment; part-time employment; who were retired; student; disabled; and unemployed. If you did not collect this data, check the box “data not collected”.

Line 2. Enter the number of people who enrolled and enter the number of people who completed Authorized Activity 2 during this reporting period prior to being released from prison. If you did not collect this data, check the box “data not collected”. Enter the number of people who enrolled and enter the number of people who completed Authorized Activity 3 during this reporting period after being released from prison. If you did not collect this data, check the box “data not collected”.

Line 3.a.1. Job Readiness skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Case management for job readiness services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.2. Job Readiness skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Curricula-based training for Job Readiness services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.3. Job Readiness skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received life skills/job coaching for Job readiness services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Instructions for Completion of Reentry Authorized Activity Questions 12 Line 3.a.4. Job readiness skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who participated in a Job readiness assessment for Job readiness services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.a.5. Job readiness skills. Of those who enrolled and completed during his reporting period for Authorized Activity 3, enter the number of people who participated in peer group meetings for Job search services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.1. Job search skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Case management for job search services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.2. Job search skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Curricula-based training for Job search services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.3. Job search skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received life skills/job coaching for Job search services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.b.4. Job search skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who participated in a peer group meetings for Job search services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.1. Job training skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Case management for job training services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.2. Job training skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received Curricula-based training for Job training services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.3. Job training skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who received life skills/job coaching for Job training services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 3.c.4. Job training skills. Of those who enrolled and completed during this reporting period for Authorized Activity 3, enter the number of people who participated in a peer group

Instructions for Completion of Reentry Authorized Activity Questions 13 meetings for Job training services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.a. Of those who enrolled in Authorized Activity 3, enter the number of people who participated in Local Child Support Agency Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.b. Of those who enrolled in Authorized Activity 3, enter the number of people who participated in Public Housing Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.c. Of those who enrolled in Authorized Activity 3, enter the number of people who participated in U.S. Department of Housing and Urban Development (HUD) Program Services. If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.d. Of those who enrolled in Authorized Activity 3, enter the number of people who participated in U.S. Department of Justice Grantee Services (e.g. Second Chance Act). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 4.e. Of those who enrolled in Authorized Activity 3, enter the number of people who participated in U.S. Department of Labor Grantee Services (e.g. ReXO Project). If you did not collect this data, check the box “data not collected”. If you did not administer this activity, check the box “did not conduct”.

Line 5.a. Of those who completed Authorized Activity 3, enter the number of people who obtained full-time unsubsidized employment with wage increase. If you did not collect this data, check the box “data not collected”.

Line 5.b. Of those who completed Authorized Activity 3, enter the number of people who obtained part-time unsubsidized employment with wage increase. If you did not collect this data, check the box “data not collected”.

Line 5.c. Of those who completed Authorized Activity 3, enter the number of people who obtained new qualifications, for example, a certification. If you did not collect this data, check the box “data not collected”.

Line 5.d. Of those who completed Authorized Activity 3, enter the number of people who obtained new jobs and who were still employed 30 days later, 60 days later, and 90 days later. If you did not collect this data, check the box “data not collected”.

Line 5.e. Of those who completed Authorized Activity 3, enter the number of people who obtained subsidized employment. If you did not collect this data, check the box “data not collected”.

Instructions for Completion of Reentry Authorized Activity Questions 14 Line 5.f. Of those who completed Authorized Activity 3, enter the number of people who showed commitment to family financial responsibility. If you did not collect this data, check the box “data not collected”.

Line 5.g. Of those who completed Authorized Activity 3, enter the number of people who were hopeful about their life improving in the future. If you did not collect this data, check the box “data not collected”.

Line 6. Please discuss in detail how your program measured improvement in financial /employment skills, commitment towards financial responsibility, and earnings for Authorized Activity 3.

Line 7. Attach a copy of any instruments that your program used to measure improvement in financial /employment skills, commitment towards financial responsibility, and earnings for Authorized Activity 3.

Instructions for Completion of Reentry Authorized Activity Questions 15