Attachment D TAP Class Attendance Form.pdf

Attachment D

TRANSITION ASSISTANCE PROGRAM

CLASS REPORT

October 2009

Class Start Date:

Class End Date:

Installation Name:

Class Type (“R”, “S”, “M”):

Primary Facilitator:

Contractor

Total Days at this Workshop Note: Any part of a day counts as a full day (2.5=3 days)

Secondary Facilitator:

DVOP

LVER

Contractor

VETS

Total Days at this Workshop Note: Any part of a day counts as a full day (2.5=3 days)

Total Participants Reported:

# Retirees

# Separatees

# Spouses ** Condition of Facility:

Excellent

Fair (Explain if fair or poor)

Poor (Explain if fair or poor)

Participation/Service Affiliation by Workshop

#Retirees #Separatees #Total #Spouses** # Army

# Navy

# Air Force

# Marines

# Coast Guard

# NG/RES

# Others

90 Days or Less

More than 90 Days

** SPOUSES ARE ENTERED IN THE PARTICIPATION/SERVICE AFFILIATION BY WORKSHOP

PORTION BUT ARE NOT COUNTED IN THE TOTALS OF EITHER THE SERVICE BREAKDOWN

OR THE IN 90-DAY CATEGORY

Class Types:

R = Retiree S = Separatees M = Mixed