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					         Communities Connect Network Project BTOP Grant Checklist
 To facilitate your quarterly reporting, please keep a running total of the outcomes your clients have
 achieved as the result of your BTOP grant. The types of activities you will be tracking are in the following
 domains:

 Technology Skills Enhancement
 Employment Skills and Opportunities
 Educational Enhancement
 Life Skills and Social Inclusion
 Access to Information and Services



Technical Skills Enhancement                                                                                    Total 1st Qtr.

Please indicate the number of clients who have achieved the following outcomes:

Acquired proficiency in using a computer mouse and keyboard

Independently navigated the Internet

Increased their knowledge of Internet safety (e.g., viruses, personal information theft)

Created and used an email account

Enrolled in a certified training program (e.g., MS Office Applications)

Completed a certified training program (e.g., MS Office Applications)

Created and saved a basic Word document
Technical Skills Enhancements (continued)                                                                   Total 1st Qtr.

Gained competency in advanced technolgy (e.g., advanced applications, HTML, XML)

Successfully installed software or performed routine maintenance on a computer

Operated a digital camera, including downloading, sending and saving pictures

Recorded and edited audio and/or video files

Other: (please specify and include the number of clients who benefitted in this way)




Employment Skills and Opportunities                                                                         Total 1st Qtr.

Please indicate the number of clients who have achieved the following outcomes:

Learned new "soft" skills to enhance their employment prospects (e.g., office etiquette, problem solving)

Gained competency in workplace technology applications

Located information regarding a career or profession

Utilized the Internet to look for employment

Created a resume or portfolio

Completed an online job application

Got a job interview
Employment Skills and Opportunities (continued)                                        Total 1st Qtr.

Were hired for a new job


Performed research in starting a new business or created a business plan

Gained competency in using small business software (e.g., QuickBooks)

Other: (please specify and include the number of clients who benefitted in this way)




Educational Enhancements                                                               Total 1st Qtr.

Please include the number of clients who have achieved the following outcomes:

Improved English skills

Developed basic literacy skills

Completed homework assignments

Received their GED

Learned about formal education opportunities
Educational Enhancements (continued)                                                                              Total 1st Qtr.

Applied for educational opportunities


    How many were accepted?


    How many completed a program?


Applied for financial aid or scholarship

     How many received financial aid or a scholarship?

Other: (please specify and include the number of clients who benefitted in this way)




Life Skills and Social Inclusion                                                                                  Total 1st Qtr.

Please indicate the number of clients who have achieved the following outcomes:

Used technology to assist with daily activities (e.g. using mass transit, checking weather, planning an outing)

Developed enhanced work or study capacity

Accessed financial institutions/paid bills online
Life Skills and Social Inclusion (continued)                                                           Total 1st Qtr.

Sold or purchased goods online

Used assistive technology to access the Internet (e.g., JAWS)

Created a social networking account or visited a social networking website (e.g., Facebook, MySpace)

Created or maintained a personal blog, wiki or website

Effectively monitored online social behavior

Connected online with family or friends

Received support for a personal problem

Received information regarding cultural or neighborhood events

Pursued a hobby (e.g., cooking, genealogy)

Other: (please specify and include the number of clients who benefitted in this way)
Access to Information and Services                                                           Total 1st Qtr.

Please indicate the number of clients who have achieved the following outcomes:

Researched information pertaining to their legal needs or consumer rights

Researched health related topics

Tracked health issues through an online health management tool (e.g., diabetes monitoring)

Made changes to their health or diet habits as a result of finding information online

Obtained information from government websites

Accessed government services (e.g., filed taxes, applied for EITC or unemployment)

Accessed online meetings or informational webinars

Other: (please specify and include the number of clients who benefitted in this way)

				
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