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HomeMy WebLinkAboutExhibit 5ATTACHMENT D: PROGRAMMATIC DATA REPORTING REQUIREMENTS rjj:Docurnent PSA1 45 Attachment D Programmatic Data Reporting Requirements The Provider shall submit (or require to be submitted by the not -for -profit organizations providing services related to this Agreement) to The Children's Trust individual participant demographics, attendance, and outcome data as requested, using an electronic web -based reporting application, provided by The Trust, as follows for each program participant: • Participant demographics shall be entered within seven (7) days of entry into the program. All participant demographics shall be updated on an ongoing bask if and when new information is collected. • Participant attendance/participation in program activities shall be entered by the fifteenth (15th) day of the month following the end of each month, exclusive of legal holidays or weekends. • Participant outcome data collection activities shall be conducted and reported in an ongoing manner, in accordance with the Scope of -Services Matrices. Outcome measures (e.g., pretests, posttests, other indicators) shall be scored and entered within fourteen (14) days of the date of collection. Demographics required for individual child participants: ♦ Child's Name (last, first, middle initial) • Child's Date of Birth • Gender (male, female) • Child's Social Security # • Street Address, City, and Zip Code ♦ Ethnicity (Haitian, Hispanic, Other Caribbean Islander, Other, None of Above) • Race (Black/African American, American Indian/Alaskan Native, Asian, Native • Hawaiian/Other Pacific Islander, White, Other) • Miami -Dade County Public Schools ID Number • Child's Home School • Child's Highest Grade Level Completed • Does child have a disability? (yes/no) • If disabled, what type? (Learning, Emotional/Behavioral, Sensory, Physical, Profound) For programs conducting Outreach or Advocacy Activities without direct contact or only one-time contacts with individuals, Provider shall report or rjj :Document PSAI 46 require to be reported the numbers of individuals, numbers of contacts, specific activities/events conducted, and program outcomes, as detailed within the Scope of Services Matrices, by the fifteenth (15th) day of the month following the end of each month, exclusive of legal holidays or weekends. rjj:Document PSAI 47