HomeMy WebLinkAboutExhibit 5Con ,i act # 506-193
ATTACHMENT D:
jE tOGRAMMATIC DATA REPORTING
REQUIREMENTS
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Cor ;r_f # 506-193
Attachment D
Programmatic Data Reporting Requirements
Thc Provider shall submit (or require to be submitted by the not -for -profit
orpnizations providing services related to this Agreement) to The Children's
Trur,t individual participant demographics, attendance, and outcome data as
refit c ted, using an electronic web -based reporting application, provided by
The, Trust, as follows for each program participant:
• P:.ticipant demographics shall be entered within seven (7) days of entry
the program. All participant demographics shall be updated on an
o' ,!:;Ding basis if and when new information is collected.
• P H.ticipant attendance/participation in program activities shall be entered
b,• the fifteenth (15`n) day of the month following the end of each month,
e:.,_!usive of legal holidays or weekends.
• PH ticipant outcome data collection activities shall be conducted and
rt:,:,orted in an ongoing manner, in accordance with the Scope of Services
1`,:atrices. Outcome measures (e.g., pretests, posttests, other indicators)
shall be scored and entered within fourteen (14) days of the date of
c::!1ection.
Derl mpraphics required for individual child participants:
• C.HMd's Name (last, first, middle initial)
♦ C.i i!d's Date of Birth
• C;:_ nder (male, female)
♦ C .ill's Social Security #
• E': :- et Address, City, and Zip Code
• EI:hnicity (Haitian, Hispanic, Other Caribbean Islander,
• F E::;: (Black/African American, American Indian/Alaskan
• I- .:: , aiian/Other Pacific Islander, White, Other)
• lv:,:;mni-Dade County Public Schools ID Number
• C:!; !'J's Home School
• Ci •.ilci's Highest Grade Level Completed
♦ C child have a disability? (yes/no)
♦ i disabled, what type? (Learning, Emotional/Behavioral,
f ,-. ical, Profound)
For r::grams conducting Outreach or Advocacy Activities without direct
conor only one-time contacts with individuals, Provider shall report or
Other, None of
Native, Asian,
Sensory,
Cori .:.,:;t # 506-193
regr: r.2 to be reported the numbers of individuals, numbers of contacts,
spe:.;iic activities/events conducted, and program outcomes, as detailed
wits::r the Scope of Services Matrices, by the fifteenth (15th) day of the
mor 11 following the end of each month, exclusive of legal holidays or
wec:'.:r_nds.