Attachment A Planned Goals Chart.xlsb

VETS-700 Planned Goals

HVRP Site Lock FIPS Finder

Author: Select the applicable Program Year for this report.

Author: Total amount of federal funds requested if this is an application for funding. If a grantee, then enter the amount of the actual grant award.

Author: Enter the name of your agency or organization.

Name of Project:

Author: Please enter a title for the name of your project.

Author: The number of participants that were placed into transitional or permanent housing either on-site or off-site.

Author: The average starting wage (dollars/hour) of all placements made in the quarter.

Author: For the purposes of competitive grants, a participant who is placed or dropped during a quarter and is not scheduled to receive future homeless veterans program services for the next 90 or more days is considered an exiter. A participant not receiving a service for 90 consecutive days must be exited. The following services do not count as “future services”:

- Additional career planning;

- Contacting the employer;

- Assisting with work-related problems;

- Peer support groups;

- Informational mailings;

- Co-enrolled partner services extending beyond the end of the active period of performance for the competitive grant award;

- Follow-up tracking services; and

- Provision of post-exit supportive services for job retention.

Author: The number of exiters for the reporting period who were employed (showed wages) in the 2nd quarter after exit. For example, a participant who exited the program on August 15, 2020 (the 1st quarter of the grant period of performance) and who showed any earnings during the January - March 2021 period (the 3rd quarter of the grant period of performance) would be considered employed in the 2nd quarter after the quarter of exit.

Author: "Episodic Homeless’’ is defined as a homeless individual who has met the definition of homelessness continuously for at least 12 months, or on at least four separate occasions in the last 3 years, where the combined occasions total a length of time of at least 12 months.

Author: Includes:

-Career Technical Training -Entrepreneurial Training

Author: Includes:

- OJT (apprenticeship + non-apprenticeship)

Author: Includes:

- Customized Training

Author: Includes:

- Educational Supplies & Fees

- Work Attire, Tools & Equip.

Author: Includes:

- Temporary Shelter

- Transportation

- Child/Dependent Care

- Accommodations for persons /w Disabilities

Author: Includes:

- Health Care

- Legal Aid Services

- Drug & Alcohol Counseling

- Financial Counseling

Author: Programmatic costs including outreach, supportive services, training, placement services, and social rehabilitation services, which will assist in stabilizing the participants. This category should reflect all costs other than administrative costs.

PY 20

v 1.3

VETS-701 Tech Perf Report

Author: Please select the quarter covered by this report.

Author: If this TPR is for the initial period covered by your grant award (i.e., a new award), please select "Initial."

If this TPR is for the 1st option year funding for your award, please select "First."

If this TPR is for the 2nd option year funding for your award, please select "Second."

Applicant Name: 0

Author: The number of participants that were placed into transitional or permanent housing either on-site or off-site.

Author: For the purposes of competitive grants, a participant who is placed or dropped during a quarter and is not scheduled to receive future homeless veterans program services for the next 90 or more days is considered an exiter. A participant not receiving a service for 90 consecutive days must be exited. The following services do not count as “future services”:

- Additional career planning;

- Contacting the employer;

- Assisting with work-related problems;

- Peer support groups;

- Informational mailings;

- Co-enrolled partner services extending beyond the end of the active period of performance for the competitive grant award;

- Follow-up tracking services; and

Author: An individual is at risk for homelessness when the individual lacks the resources and support networks needed to obtain housing. The risk must be real and imminent (within 60 days). In some sense, anyone living below the poverty level may be at risk of homelessness.

Author: "Episodic Homeless’’ is defined as a homeless individual who has met the definition of homelessness continuously for at least 12 months, or on at least four separate occasions in the last 3 years, where the combined occasions total a length of time of at least 12 months.

Author: "Episodic Homeless’’ is defined as a homeless individual who has met the definition of homelessness continuously for at least 12 months, or on at least four separate occasions in the last 3 years, where the combined occasions total a length of time of at least 12 months.

Author: The number of exiters for the reporting period who were employed (showed wages) in the 2nd quarter after exit.

Author: Computed by dividing the total number employed in the 4th quarter after exit by the total number of exiters for the reporting period.

Author: Includes:

-Career Technical Training -Entrepreneurial Training

Author: Includes:

- OJT (apprenticeship + non-apprenticeship)

Author: Includes:

- Customized Training

Author: Includes:

- Educational Supplies & Fees

- Work Attire, Tools & Equip.

Author: Includes:

- Temporary Shelter

- Transportation

- Child/Dependent Care

- Accommodations for persons /w Disabilities

Author: Includes:

- Health Care

- Legal Aid Services

- Drug & Alcohol Counseling

- Financial Counseling

VETS-701A Demographics Summary

VETS-701B Participant Info

(DO NOT USE SSN)

Author: Enter a unique ID for the participant. Please do not use SSNs.

Participant Name (Do not use Actual Full Names) Author: You may use the first four letters of Last Name, followed by First/Middle Initials (e.g. Robert B. Johnson = JOHNRB) or you may assign another label that is not the actual full name of the particiant that will assist you in tracking the progress of the participant. Service Start Date

(YYYY/MM/DD)

Author: Enter the date the participant first received qualified (i.e., not self-service, informational, or follow-up) grant-funded services or benefits. If this is an option year award and the first service occurred in a prior program year, enter that original date. Date First Registered in American Job Center (AJC)

(YYYY/MM/DD)

Author: The date the participant was enrolled in Wagner-Peyser Act, Jobs for Veterans State Grant, and/or Workforce Innovation and Opportunity Act services via an American Job Center (AJC). Co-Enrolled in American Job Center (AJC) (1=Yes, 0=No) Author: The participant is co-enrolled in Wagner-Peyser Act, Jobs for Veterans State Grant, and/or Workforce Innovation and Opportunity Act services via an American Job Center (AJC).

Co-Enrolled in VA's Grant and Per Diem (GPD) (1=Yes, 0=No) Author: Grant and per Diem (VA Transitional Housing).

Co-Enrolled in Veterans Affairs Supportive Housing (VASH) (1=Yes, 0=No) Author: Received a VA supported housing voucher through Veterans Affairs Supportive Housing (VASH) program.

Co-Enrolled in Supportive Services for Veteran Families (SSVF) (1=Yes, 0=No) Author: Supportive Services for Veteran Families (SSVF).

Co-Enrolled in SSVF-Shallow Subsidy (1=Yes, 0=No) Author: Receiving rental assistance from a SSVF provider.

Co-Enrolled in FEMA (1=Yes, 0=No) Author: Federal Emergency Management Agency (FEMA).

Co-Enrolled in Native American Housing Assistance & Self-Determination Act (NAHASDA) (1=Yes, 0=No) Author: Native American Housing Assistance and Self-Determination Act.

Co-Enrolled in VA's Homelessness Prevention and Rapid Re-Housing Program (HPRP) (1=Yes, 0=No) Author: VA's Homelessness Prevention & Rapid Re-Housing Program.

Service End Date (Leave Blank for Persons to be Carried Forward to a Subsequent Grant)

(YYYY/MM/DD)

Author: Record the final date the participant received funded services that are not self-service, information-only, or follow up services. Record this last date of receipt of services only if there are no future services, that are not self-service, information-only, or follow up services, planned from the program. Placed in Employment (1=Yes, 0=No) Author: Please indicate whether the participant was employed when they exited the program.

Hourly Wage at Placement

Author: If the participant is reported as employed, then please provide the Hourly Wage paid to the individual.

Gender (1=Male, 2=Female) Author: Please indicate the Gender of the participant. Ethnicity (1=Hispanic or Latino, 0=Not Hispanic or Latino) Author: Please indicate if the participant is of Hispanic or Latino origin.

American Indian or Alaska Native (1=Yes, 0=No) Author: Enter Yes for a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian (1=Yes, 0=No) Author: Enter Yes for a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American (1=Yes, 0=No) Author: Enter Yes for a person having origins in any of the black racial groups of Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American." Native Hawaiian or Other Pacific Islander (1=Yes, 0=No) Author: Enter Yes for a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White (1=Yes, 0=No) Author: Enter Yes for a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Age (at First Service) Author: Please indicate the age of the participant at the time the first program-funded service was rendered. Date Entered Military Service Author: The date the veteran entered military service as indicated in the DD214.

Author: Enter the Last Branch of Military Service.

Highest Education Level (at First Service) Author: Enter the Highest Education Level at the time the first service was rendered:

1 = Attained secondary school diploma 2 = Attained a secondary school equivalency 3 = The participant with a disability received a certificate of attendance/completion as a result of successfully completing an Individualized Education Program (IEP) 4 = Completed one of more years of postsecondary education 5 = Attained a postsecondary technical or vocational certificate (non-degree) 6 = Attained an Associate's degree 7 = Attained a Bachelor's degree 8 = Attained a degree beyond a Bachelor's degree 0 = No Educational Level Completed At Risk of Homelessness (1=Yes, 0=No) Author: An individual is at risk for homelessness when the individual lacks the resources and support networks needed to obtain housing. The risk must be real and imminent (within 60 days). In some sense, anyone living below the poverty level may be at risk of homelessness.

An individual may be either at risk for homelessness or homeless, but not both at once. Homeless (1=Yes, 0=No) Author: Is a veteran who is homeless, meaning:

1. A person who lacks a fixed, regular, and adequate nighttime residence;

2. A person living in a supervised public or privately operated shelter designed to provide temporary living arrangements;

3. A person who resided in a shelter or place not meant for human habitation and who is exiting an institution where he or she temporarily resided;

4. A person with a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings, including a car, park, abandoned building, bus or train station, airport, or camping ground;

5. An individual who will imminently lose his or her housing, has no subsequent residence identified, and who lacks the resources or support network needed to obtain other permanent housing;

6. Unaccompanied youth and homeless families with children and youth defined as homeless under other federal statutes who have experienced a long period without permanent housing; have experienced persistent instability as measured by frequent moves over such period; and can be expected to continue in such status for an extended period of time because of chronic disabilities, chronic physical health or mental health conditions, substance addiction, histories of domestic violence or childhood abuse, the presence of a child or youth with a disability, or multiple barriers to employment; or

7. An individual or family who is fleeing, or is attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions in the individual’s or family’s current housing situation, including where the health and safety of children are jeopardized, and who have no other residence and lack the resources or support network to obtain other permanent housing. Episodic Homelessness (1=Yes, 0=No) Author: Select Yes if the individual is considered to be "chronically homeless" at the time of enrollment. A ‘‘chronically homeless’’ individual is defined as a homeless individual who has met the definition of homelessness continuously for at least 12 months, or on at least four separate occasions in the last 3 years, where the combined occasions total a length of time of at least 12 months.

Homeless With Family (1=Yes, 0=No) Author: Please select Yes if the veteran is defined as homeless and has care of one or more minor dependents. IVTP Eligible (1=Yes, 0=No) Author: A veteran who is a resident of a penal institution, or an institution that provides long-term care for mental illness, and is at risk for homelessness absent referral and counseling services provided under the program. Disabled (1=Yes, 0=No) Author: Select Yes if the veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Veterans Administration; or a person who was discharged or released from active duty because of a service-connected disability. Special Disabled (1=Yes, 0=No) Author: Please select Yes if the participant is:

• A veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs for a disability:

(A) Rated at 30 percent or more, or

(B) Rated at 10 or 20 percent in the case of a veteran who has been determined to have a serious employment handicap; or

• A person who was discharged or released from active duty because of a service-connected disability.

Author: Enter the date the individual last participated in on-the-job training (OJT). OJT is provided under a contract with an employer or registered apprenticeship program sponsor in the public, private non-profit, or private sector. Through the OJT contract, occupational training is provided for the participant by the employer in exchange for the reimbursement, typically up to 50 percent of the wage rate of the participant, for the extraordinary costs of providing the training and supervision related to the training.

Author: Career Technical Training is any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading basic skills through courses such as remedial education, training in the primary language of persons with limited English language proficiency, or English as a second language training.

Author: Services designed to help a newly employed veteran adjust to his or her new job and are considered part of the veteran employment plan.