III. Homelessness Prevention (HP) Activities (Use if Budget Includes HP Cost Categories of Housing Relocation and Stabilization Services, Tenant-Based Rental Assistance and/or Project-Based Rental Assistance). If a client served in this report period was reported in a previous report period, that client should not be counted again. Actual Number of Adults Served: _____ Actual Number of Children Served: Don’t know/Refused/Other: _____ Missing Information: _____ Total _____ Actual Number of Households Served: _____ Total Persons Served with Homeless Prevention Activities (Section III) Note: The numbers reported under Hispanic ethnicity should also be reflected in the Total column, as denotes an ethnicity and not a race. (The federal government defines Hispanic as person of “Hispanic” “a Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin regardless of race”.) Race Gender # # Hispanic Male Female Transgender Refused/Other Missing Info White Black/African American Asian American Indian/Alaska Native American Indian/Alaska Native & White Asian & White Black/African American & White American Indian/Alaska Native & Black/African American Other Multi-Racial Total - this total should match unduplicated actual # or persons served in Section III Hispanic ethnicity is not a race Homeless Prevention Performance Measures Category Total # Entered/Served # Entered Case Management # Received Rental Assistance # Received Utility Assistance # Retained Housing # Transitioned to Alternative Permanent Housing Total
III. Homelessness Prevention (HP) Activities (Use if Budget Includes HP Cost Categories of Housing Relocation and Stabilization Services, Tenant-Based Rental Assistance and/or Project-Based Rental Assistance). If a client served in this report period was reported in a previous report period, that client should not be counted again. Actual Number of Adults Served: _____ Actual Number of Children Served: Don’t know/Refused/Other: _____ Missing Information: _____ Total _____ Actual Number of Households Served: _____ Total Persons Served with Homeless Prevention Activities (Section III) Note: The numbers reported under Hispanic ethnicity should also be reflected in the Total column, as “Hispanic” denotes an ethnicity and not a race. (The federal government defines Hispanic as “a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin regardless of race”.) Race Gender # # Hispanic Male Female Transgender Refused/Other Missing Info White Black/African American Asian American Indian/Alaska Native American Indian/Alaska Native & White Asian & White Black/African American & White American Indian/Alaska Native & Black/African American Other Multi-Racial Total - this total should match unduplicated actual # or persons served in Section III Hispanic ethnicity is not a race Homeless Prevention Performance Measures Category Total # Entered/Served # Entered Case Management # Received Rental Assistance # Received Utility Assistance # Retained Housing # Transitioned to Alternative Permanent Housing Total
ClientStatisticsQuarterlyReportTemplate.docx