Monthly Statistical Report.xls
XLS spreadsheet 97 KB Posted
- Attached to
- Anne Arundel County - Evening Reporting Center
- Solicitation number
- BPM028638
- Issued by
- Anne Arundel County, Maryland
About this file
The document provided is a Monthly Statistical Report template from the Maryland Department of Juvenile Services for a contract (ERC-AAC 22-CS-R05) related to the development and implementation of an Evening Reporting Center in Anne Arundel County, Maryland. The report requires the vendor to provide details on new admissions, releases, youth information, life skills training, school attendance, and other program metrics on a monthly basis. The contract opportunity is for Anne Arundel County and involves the development and implementation of the Evening Reporting Center program.
The report template includes instructions for completing the form, as well as codes for life skills sessions, release reasons, and school attendance. Vendors will be required to submit this report monthly, detailing the operations and outcomes of the Evening Reporting Center program. No other salient pricing, funding, or incumbent information is provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP - Evening Reporting Center - 22-CS-R05 .pdf | ||
| Attachment B - Financial Proposal - 22-CS-R05.xlsx | XLSX spreadsheet | |
| Amendment No 1 ~ 22-CS-R05 .pdf |
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Text version
ERC-AAC 22-CS-R05
| STATE OF MARYLAND | ||||||||||||||||
| DEPARTMENT OF JUVENILE SERVICES | SOLICITATION No 22-CS-R05 | |||||||||||||||
| ATTACHMENT - S MONTHLY STATISTICAL REPORT | ||||||||||||||||
| Report Month | ||||||||||||||||
| Vendor Name | ||||||||||||||||
| Vendor Address | ||||||||||||||||
| FEIN Number | ||||||||||||||||
| Contract Number | Name of person completing form: | Total in the program at Start of Month | ||||||||||||||
| Program Name | Telephone # | New admissions This Month | ||||||||||||||
| Program Address | Email Address: | Number or Releases This Month | ||||||||||||||
| ASSIST # | First Name of Youth | Last Name of Youth | Sex | Race | Date of Birth | Admission Date | Referral Date | Release Date | Release Code* | Service Date | Individual. Life Skill Sessions Attended (Enter Code) | Result (Satisfactory / Unsatisfactory) | Meals Attended | School Attendance▲ | No. of School Days Missed | Comments |
| Name: | ||||||||||||||||
| Date: | ||||||||||||||||
| Signature: |
*LIFE SKILLS CODES
1. Orientation
2. Staff Consultation
3. Tutoring
3. Crisis Intervention
4. Job Preparation
5. Mental Health Group Sessions
*RELEASE CODES
At discharge, please determine whether the youth has successfully completed program goals as defined in the Treatment Plan. Please select the code that most closely describes the reason for the youth's release.
1. Successful completion - Planned release, successfully completed program goals
2. Unsuccessful Completion - AWOL
3. Unsuccessful Completion - Court ordered
4. Unsuccessful Completion - Transfer
5. Unsuccessful Completion - Program requested removal
6. Unsuccessful Completion - DJS requested removal without Program input
7. Unsuccessful Completion - Other
8. Unsuccessful Completion - Youth terminated
▲SCHOOL ATTENDANCE CODES
1.Yes – Regular curriculum/summer school 2.Yes – G.E.D. program 3.Yes – Vocational Training 4.Yes – Other (alternative school, home school) 5.No – Not attending school 6.No – Received HS diploma 7.No – Received G.E.D.
8.No – Other (employed full-time, training certificate)
File details come from the government source that posted it. Updated .