Mature worker program quarterly report




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AAA-1216A FORFF (2-11)

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

Division of Aging and Adult Services

MATURE WORKER PROGRAM QUARTERLY REPORT

NAME OF ORGANIZATION

     


REPORTING PERIOD (MM/DD/YYYY)

From       To      



JOBSEEKER RELATED ACTIVITIES




Quarter Ending Date

Year

to
Date


Enter quarterly end date here 

     

     

     

     

Number of Job Seekers Recruited/Served:

   

   

   

   



Services Provided:
















Skills assessment

   

   

   

   



Skills development (training)

   

   

   

   



Employment (job) development

   

   

   

   



Placement into employment

   

   

   

   



Paid

   

   

   

   



Unpaid (volunteer, mentoring, etc.)

   

   

   

   



Other

   

   

   

   



Referral to Arizona Workforce Connection One-Stop

   

   

   

   



General employment related information

   

   

   

   



Major Activities and Accomplishments During the Period:

     


EMPLOYER RELATED ACTIVITIES

Major Activities and Accomplishments During the Period (presentations, collaborative efforts established, etc.):

     


Best Practices or Mature Worker Program Innovations During this Period:

     


Technical Assistance Needed:

     



Instructions for Completing the Mature Worker Program Quarterly Report
Quarterly reports are intended to provide the Mature Worker Program Coordinator sufficient information for a full understanding of the Mature Worker Program performance. There are no limitations regarding the length of narrative provided.

Submitted by (organization): Enter the name of your organization.

Reporting Period: Enter the beginning and ending dates for the quarterly time span being reported on this form. The form can be saved and reused each quarter, accumulating data for the year.

JOBSEEKER RELATED ACTIVITIES

Quarter Ending Date: Enter the ending date of the quarter for which this report is being prepared.

Number of Job Seekers Recruited/Served: Enter the number of individuals provided with at least one of the services listed during the reporting period (quarter), and cumulatively for the year to date.

Services Provided: For each service listed, enter the number of individuals who received each service. This number may exceed the number of individuals served, as each individual may receive more than one service.

Skills assessment: Enter the number of individuals who received a formal skills assessment through this reporting agency or a community partner during the quarter and cumulatively for the year.

Skills development (training): Enter the number of individuals who received skills training through this reporting agency or a community partner (if known) during the quarter and for the year to date.

Employment (job) development: Enter the number of individuals who were provided with direct service in coordinating job placement with a designated employer during the quarter and for the year to date.

Placement into employment: Enter the number of individuals who were placed into either Paid or Unpaid employment (volunteer) during the quarter and for the year to date.

Other: Enter the number of individuals who were referred to other community resources during the quarter and the year to Date.

Major Activities and Accomplishments During this Period: Provide a summary of the jobseeker related activities that occurred during the reporting period. This should include the names of assessment tools used, special recruitment/outreach efforts and any other activities related to serving job seekers.

EMPLOYER RELATED ACTIVITIES

Major Activities and Accomplishments During this Period: Summarize employer related activities and accomplishments that occurred during the reporting period. This narrative should include details of services provided to employers such as presentations, outreach to community partners, network/business community functions attended, etc.

Best Practices or Mature Worker Program Innovations During this Period: Describe best practices or innovations that have been successfully planned or implemented during the quarter.

Technical Assistance Needed: Fully describe the type of technical assistance needed. Include rationale or reason for the requested support.

SUBMITTING THE REPORT

The completed report is to be electronically submitted (via e-mail attachment) to the DAAS Mature Worker Program Coordinator by the 20th of each month following the end of the quarter.



Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, and disability. The Department must make a reasonable accommodation to allow a person with a disability to take part in a program, service or activity. For example, this means if necessary, the Department must provide sign language interpreters for people who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, contact 602-542-4446; TTY/TDD Services: 7-1-1. • Free language assistance for DES services is available upon request.



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