TYPES OF VICTIMIZATIONS (for ALL individuals identified in Question 1) Individuals who A. Number of individuals received services who received services VICTIMIZATION TYPE based on a presenting by type of victimization during the victimization. reporting period. INSTRUCTIONS: Enter a Adult Physical Assault (Includes Aggravated and count for each Simple Assault) victimization type of Adult Sexual Assault individuals who received Adults Sexually Abused/Assaulted as Children services based on their Arson presenting victimization type(s) during the Bullying (Verbal, Cyber or Physical) reporting period. Burglary An individual may be Child Physical Abuse or Neglect counted in more than one Child Pornography victimization type. Child Sexual Abuse/Assault Do not count an Domestic and/or Family Violence individual more than DUI/DWI Incidents once for the same victimization type. Elder Abuse or Neglect Hate Crime: Racial/Religious/Gender/ Sexual Orientation/Other (Explanation SEE APPENDIX FOR Required) Human Trafficking: Labor DEFINITIONS Human Trafficking: Sex Identity Theft/Fraud/Financial Crime Kidnapping (non-custodial) Kidnapping (custodial) Mass Violence (Domestic/International) Other Vehicular Victimization (e.g., Hit and Run) Robbery Stalking/Harassment Survivors of Homicide Victims Teen Dating Victimization Terrorism (Domestic/International) Violation of a Court (Protective) Order Other (Provide number and description) If other, please explain: TOTAL Of the number of individuals receiving services, the number who B. presented with more than one type of victimization during the reporting period. C. Special Deaf/Hard of Hearing classification of Homeless individuals Immigrants/Refugees/Asylum Seekers (self-reported) LGBTQ Veterans INSTRUCTION: Enter Victims with Disabilities: Cognitive/ Physical /Mental the number of individuals Victims with Limited English Proficiency who self-identify in one of these categories. Other (List the types) If other, please explain:
TYPES OF VICTIMIZATIONS (for ALL individuals identified in Question 1) Individuals who received services by type of victimization. INSTRUCTIONS: Enter a count for each victimization type of individuals who received services based on their presenting victimization type(s) during the reporting period. An individual may be counted in more than one victimization type. Do not count an individual more than once for the same victimization type. SEE APPENDIX FOR DEFINITIONS VICTIMIZATION TYPE A. Number of individuals who received services based on a presenting victimization during the reporting period. Adult Physical Assault (Includes Aggravated and Simple Assault) Adult Sexual Assault Adults Sexually Abused/Assaulted as Children Arson Bullying (Verbal, Cyber or Physical) Burglary Child Physical Abuse or Neglect Child Pornography Child Sexual Abuse/Assault Domestic and/or Family Violence DUI/DWI Incidents Elder Abuse or Neglect Hate Crime: Racial/Religious/Gender/ Sexual Orientation/Other (Explanation Required) Human Trafficking: Labor Human Trafficking: Sex Identity Theft/Fraud/Financial Crime Kidnapping (non-custodial) Kidnapping (custodial) Mass Violence (Domestic/International) Other Vehicular Victimization (e.g., Hit and Run) Robbery Stalking/Harassment Survivors of Homicide Victims Teen Dating Victimization Terrorism (Domestic/International) Violation of a Court (Protective) Order Other (Provide number and description) If other, please explain: TOTAL B. Of the number of individuals receiving services, the number who presented with more than one type of victimization during the reporting period. C. Special classification of individuals (self-reported) INSTRUCTION: Enter the number of individuals who self-identify in one of these categories. Deaf/Hard of Hearing Homeless Immigrants/Refugees/Asylum Seekers LGBTQ Veterans Victims with Disabilities: Cognitive/ Physical /Mental Victims with Limited English Proficiency Other (List the types) If other, please explain:
SubgranteePerformanceReportQuarterly.docx