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INSTRUCTIONS FOR COMPLETING PROGRESS REPORT /PROJECT GOAL ACHIEVEMENTS FORMS CJD -16 -a, CJD -16 -b, AND CJD -16 -c This progress report form is a multi- purpose form. It is to be completed, as applicable, — with the *grant application, and completed fully for the * *semi - annual progress report and the ** *final progress report. Applicants must retain a copy of these pages since the information will be needed to complete, in full, the semi - annual and- final reports. Additional forms will not be provided routinely. *AT THE TIME OF APPLICATION. Only pages CJD -16 -a and continuation page(s) CJD -16 -b will be completed. Columns 2 and 4 are to be left blank at this stage. No. 1 - Grantee Name: Enter name of grantee organization. No. 2 - Grant No: Leave blank. No. 3 - Project Title: Enter the project title as used in the grant application. No. 4 - Report Time Period: Leave 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 (under the numbered items) for the Indicator cited, enter the estimated annual level of achievement /performance as of the date on which the grant will start. Enter "N /A" if the Indicator is not applicable to your specific program. - Column 3: In each of the blocks ( under the numbered items) for the indicator cited, enter the projected number to be achieved during this grant period. * *FOR SEMI - ANNUAL REPORT. The report, covering the first six months. of -the grant period and consisting of pages CJD -16 -a, 16 -b, and 16 -c is due at CJD 20 days after the report period ends. Headings and entries on pages 16 -a and 16 -b, which were submitted with the application, should be entered exactly the same into this report. In addition, complete and add the following: Line 2, Grant No: Enter the grant number cited in the Statement of Grant Award. Line 4, Report Time Period: Enter the dates for the first six months of the grant. Column 2: In each of the blocks, enter the actual number (as an update of the earlier estimate in the corresponding block in Column 1) of the annual achievement /performance as of the date on which this grant started. Column 4: In each of the blocks, enter the cumulative year -to -date achievement level. Page CJD -16 -c: Complete the narrative in the outline provided on the form. Include signature, date, and telephone number. ** *FOR FINAL REPORT. The report, covering the entire grant period and consisting of pages CJD -16 -a, 16 -b, and 16 -c is due at CJD 20 days after the grant period ends. With the exception of the "Report Time Period" and entries in Column 4, all other entries on pages 16 -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: Enter the dates of the entire grant period. Column 4: In each of the blocks, enter the cumulative year -to -date achievement level. Page CJD -16 -c: Complete the narrative in the outline provided on the form. Include signature, date, and telephone number. SEE FOLLOWING PAGES FOR EXAMPLES OF COMPLETED FORM Revised December 1989 CJD -16