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Working for Families: Lessons from the Pilot Projects (Stage 1)
Appendix four Project Completion, Outcomes and Distance Travelled Monitoring Information (3, 6 and 12 months)
Working for Families Funding
Monitoring and Evaluation Pro-forma
To be completed 3, 6 and 12 months after the client leaves the programme.
1. Name: ____________________________________________________________
2. Address: __________________________________________________________
Postcode: ___________________________________________________________
Intervention Outcomes
3. What is your current economic status (please tick ones applicable):
Working full-time | 1 |
Working part-time | 2 |
Unemployed and receiving work related benefit | 3 |
Unemployed but NOT receiving work related benefit | 4 |
4. Has your economic status changed since receiving childcare support?
5. If YES what changes have occurred (please tick all that are applicable):
Moved from unemployment to a full-time job | 1 |
Moved from unemployment to a part-time job | 2 |
Moved from a part-time to a full-time job | 3 |
Moved from full-time to a part-time job | 4 |
Moved from being employed to being unemployed | 5 |
Increased gross weekly wage | 6 |
Increased job responsibility | 7 |
State benefits increased | 8 |
State benefits decreased | 9 |
Other (please specify) | 8 |
6 If you were unemployed before and are now working please provide the following information:
Job title: ______________________________________________________________
What is your employer's business (for example hotel, shop, manufacturing)?
_____________________________________________________________________
Date employment started: Year: ___________ Month: __________________
Weekly hours worked: __________________________________________________
Gross weekly wage: ____________________________________________________
7. If you have started attending an education course following childcare support please provide the following information:
Course title: ____________________________________________________________
Provider: ______________________________________________________________
Duration __________________________________________________________weeks
Mode of attendance:
Full-time | 1 |
Part-time | 2 |
Evening | 3 |
Weekend | 4 |
Qualification to be gained ________________________________________________
8. If you have started attending a vocational training course following childcare support please provide the following information:
Course title: ____________________________________________________________
Provider: ______________________________________________________________
Duration __________________________________________________________weeks
Mode of attendances:
Full-time | 1 |
Part-time | 2 |
Evening | 3 |
Weekend | 4 |
Qualification to be gained ________________________________________________
9. If you have become involved in voluntary activity following childcare support please provide the following information:
Organisation worked for: ________________________________________________
Your role _____________________________________________________________
_____________________________________________________________________
Hours active per week ___________________________________________________
Attitudes
Please tick one box for each statement to show how much you agree or disagree with it.
| Strongly Agree | Agree | Neither agree or disagree | Disagree | Strongly Disagree |
10. I am very interested in obtaining a job. | | | | | |
11. I am very interested in obtaining a place on a training or education course. | | | | | |
12. I am confident that if I want a job I can get one. | | | | | |
13. If I want a job I know how to go about looking for one. | | | | | |
14. If I want a place on a training or education course I know how to obtain one. | | | | | |
15. If I want support to help me obtain a job I know who to approach. | | | | | |
16. I feel that I have the skills that employers are looking for. | | | | | |
17. I feel that I have the abilities that employers are looking for. | | | | | |
18. I feel that I could successfully complete a training course. | | | | | |
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