Category 1 Measures (4 Measures)

OMB #: 0990-0416

Exp Date: xx/xx/xxxx

Attachment C: Form for Grantees implementing Programs in Category 1

Category 1 Grantee Programs Only: (Grantees Working with Institutions of Higher Education (IHEs)).

1.0 How many eligible participants received at least one activity? Indicate the total number in each category below. (REVISED, formerly measure 0.01)

a) Expectant female teens (19 years and younger)

b) Expectant male teens (19 years and younger)

c) Parenting teen mothers (19 years and younger )

d) Parenting teen fathers (19 years and younger )

e) Expectant women (20 years and older)

f) Expectant men (20 years and older )

g) Parenting women (20 years and older)

h) Parenting men (20 years and older )

i) Children (of expectant or parenting participants [reported in a to h] above)

1.1 How many expectant and parenting IHE student participants does the program serve?

Indicate the number for each category below.

a) Vocational/Technical School (Nursing certification, computer certification, etc.)

b) Community College

c) 4 year College or University

d) Other

1.2 How many expectant and parenting IHE student participants graduated from the IHE?

Indicate the number for each category below.

a) Vocational/Technical School (Nursing certification, computer certification, etc.)

b) Community College

c) 4 year College or University

d) Other

1.3 How many expectant and parenting IHE student participants are enrolled in the next semester or quarter of classes?

Indicate the number for each category below.

a) Vocational/Technical School (Nursing certification, computer certification, etc.)

b) Community College

c) 4 year College or University

d) Other

1.4 How many parenting IHE student participants 19 years and younger reported a new pregnancy during the program year?

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