Florida Department of Juvenile Justice
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1 Florida Department of Juvenile Justice Quarterly Narrative Report Grant # or Contract # Enter Your Grant or Contract Number in the Block Above Program Name: Provider/ Agency Name: Reporting Person: Check the appropriate quarter for this report: July Sep Jan Mar Oct - Dec Apr Jun Quarterly Narrative Reports are due on or before the 10 th of October, January, April and July Telephone: ( ) Date Report Submitted: I. PROGRAM INFORMATION: A. Please check the type of program based upon the funding source: Delinquency Prevention JJDP Grant Neighborhood Accountability Board Contract Civil Citation B. 1. Proposed number of youth to be admitted and served this grant year: 2. Number of youth already active in the program at 12:01 a.m. on July 1, 2007: 3. Enter the number of youth admitted and released for each quarter of this grant year to date. (Leave future quarters blank, but enter and calculate the total for all quarters to date) # of youth admitted from July 1 st through September 30 th # of youth admitted from October 1 st through December 31 st # of youth admitted from January 1 st through March 31 st # of youth admitted from April 1 st through June 30 th Number of Youth Newly Admitted to program Number of Youth Released from program TOTAL (The total number of B2 + B3 should agree with the number entered into the JJIS Prevention Web at the end of each quarter) C. Is the cumulative number of youth admitted to date on target with the proposed number of youth to be served? Yes No (If No, please include an explanation in Section III-Narrative Description) D. Number of Youths / Adults that Volunteered in your program during this quarter. Total Number of Adults* Total Number of Hours Total Number of Youths* Total Number of Hours *If reporting volunteer hours here you are required to complete Attachment 1 of this report. Quarterly Narrative Report Form Page 1 of 5
2 II. OBJECTIVE SPECIFIC INFORMATION: Describe your accomplishments toward the outcome objectives specified in your grant or contract for the three months of the quarter that is being reported: (List your program's measurable objectives exactly as written in your grant proposal, and provide progress narrative on each of your objectives at the end of each quarterly period. Please be brief, factual, and provide measurable and verifiable data). Attach additional pages if necessary MANDATORY OBJECTIVES Youth served in a delinquency prevention program are expected to remain crime free while in the program At least 85% of youth who complete the program should remain crime free for six months as measured by delinquency referrals to DJJ subsequent to release from program PROGRAM SPECIFIC OBJECTIVES Quarterly Narrative Report Form Page 2 of 5
3 III. NARRATIVE DESCRIPTION: Please provide a narrative description of how your program is operating during the three months of the quarter being reported. Include narrative regarding any obstacles and successes. Also, describe any changes, amendments or modifications to the program that have occurred since the last quarterly report. Quarterly Narrative Report Form Page 3 of 5
4 IV. ANNUAL OUTCOME OBJECTIVE ACHIEVEMENTS: (This section only needs to be completed and submitted as part of the final Quarterly Narrative Report due July 10, 2008) Describe your accomplishments toward the outcome objectives specified in your grant or contract for the entire grant year: (List your program's measurable objectives exactly as listed in your grant or contract, and provide progress notes on each of your objectives. Please be brief, factual, and provide measurable and verifiable data. Attach additional pages if necessary. MANDATORY OBJECTIVES Youth served in a delinquency prevention program are expected to remain crime free while in the program. At least 85% of youth who complete the program should remain crime free for six months as measured by delinquency referrals to DJJ subsequent to release from program OBJECTIVE ANNUAL PROGRESS Quarterly Narrative Report Form Page 4 of 5
5 Attachment 1 - Complete and submit this attachment only if you reported volunteers to your program in Section I-C on the first page of this report. List the names and total hours of each adult and youth volunteer included in the count listed on page 1, Section I-C. Add as many pages as are necessary to report all volunteers from the quarter. If you had no volunteers during this quarter you may exclude this page from your report. Volunteer s Last Name Volunteer s First Name Volunteer is a Youth (Y) or Adult (A) Number of hours volunteered in grant program this quarter Quarterly Narrative Report Form Page 5 of 5
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