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1 INSTRUCTIONS FOR COMPLETING PROGRESS REPORT /1'RO.1ECT GOAL ACHIEVEMENTS FORMS CJD -16 -a, CJD -16 -b, AND CJD -1.6 -c This Irr•of,,mn,s report. form is a multi- purpo$e form. H. is Lo be completed, as a )p1lelble, will) the *f�;r,ull application; and completed fully for Ili(! ** semi - annual progress report and the ** *final progress report . Applicants must retain a copy of these pages since the information will he needed Io complete, in full, the semi - annual and finial reports. Additional forms will not ix! provided routinely. *AT 'I'llli TIMI? OF APPLICATION. Only pages CJD -.16 -a and continuation page(s) CJ1)-16 -b will be completed. Columns 2 and 4 are to be left blank i11 this stage. No. 1. - Grantee Name: F;nLer name of grantee organization. No. 2 - Grant No: Leave blank. No. :3 - Project Title: L;rifer the project title as used in the grant applicfation. No. 4 - Report Time Period: heave blank. Column 1: In the space provided following numbers 1 through 20, enter the Performance Indicators exactly as specified in the "Assessment. Requirements" of the Program Description section of your Application Kit. List all Indicators, even though some may not be applicable to your specific program. If desired, add optional Indicators. In each of the blocks (urider the numbered items) for the Indicator cited, enter the est.inrated annual level of achievement /performance as of the date on which the grunt will start. Elder, "N /A" if the Indicator is not. applicahle to your specific 1)rof;r,till. Column :3: In each of the blocks ( under the numbered items) for the indicator cited, enter the projected number to be achieved durinLT this grant r)eriod. * *FOR SEMI - ANNUAL REPORT. The report, covering the first six months of the grant period and consisting of pages CJD - l6 -a, 16 -b, and 16 -c is due at CJD 20 days after the report period ends. pleadings and entries on pages 16 -a and 16 -b, which were submitted with the application, should he entered exactly the same into this report. In addition, complete and adcl the following: Line 2, Grant No: lsnter the grant number cited in the Statement of Crant Award. Line Report '.Time Period: H.nt.er the dates for the first. six months of the grant.. Column 2: In eur.h of the blocks, enter the actual number (a-, an update of the earlier estin[ate in the corresponding block in Column I ) of the ,annual ;aehicveme►rt /performurrce us of the date on which this grant started. Column 4: In each of Lhe blocks, enter the cumulative year -lo -date achievement level. P_i�C4D -16 -c: Complete the narrative in the outline pr•ovid.ed on the form. Include s.il;riature, date, and telephone number. ** *FOIL FINAL REPORT. The report, covering the entire grant. period and consisting a of pages CJ I)• -I6 -a, 16 -1), and 16 -c is due at CJD 20 days after the* grant period ends. With the excopt ion of the "Report. Time Period" and entries in Column 4, all other entries on pages lti -a, 16 -b of the semi - annual report should be copied identically into this report. In addition, complete and add the following: Line 4, Report Time Period: Prater the dates of the entire grant period. Column 4: In each of the blocks, enter the cumulative year -to -date achievement level. 111age CJU -16 -c: Complete the narrative in the outline provided on the form. Include; signature, date, and telephone number.