2017 CDGA Project Activity Report

Organization: . Prepared By: Date

Report #: ______Accepted By: Date

Account Number: ______

EMPLOYMENT SERVICES – Job Placement

(Transitional Jobs)

05 – LMC – People: HUD Objective: Create economic opportunities; HUD Outcome: Sustainability

Principal Project Activity(s) / Measurement / Jan / Feb / Mar / Apr / May / June / July / Aug / Sep / Oct / Nov / Dec / TOTAL

JOB PLACEMENT

/ # OF FULL- TIME JOB PLACEMENTS
(unduplicated) / Plan
Actual
# OF PART-TIME JOB PLACEMENTS
(unduplicated) / Plan
Actual
# PERSONS
IN JOBS FOR 45 DAYS
FULL- TIME
(unduplicated) / Plan
Actual
# PERSONS
IN JOBS FOR 45 DAYS
PART- TIME
(unduplicated) / Plan
Actual

1. You are required to report the total number of persons served by the Job Placement Activity. Note that all persons placed must be of low/moderate income status.

2. The CDGA Employee Data Form and Direct Benefits Form (CDA 35) must accompany this report.

3. Part-Time - 20 hours per week; Full –time = 36 hours per week