east side rising

EAST SIDE RISING – DE WONDER PROGRAM

Description

This form allows you to provide information about the services provided to a DE WONDER participant.

It allows you to enter the information for multiple participants at a time.

During a data entry session, you can navigate back and forth among all the participant data that you

enter.

Data Entry Steps

Navigation buttons to

move between the

data entered

Click to add (save) the

current participant’s

information in the

spreadsheet

Click to add a blank

participant’s record to the form

Click to cancel

the data entry

and close the

form

Click to print the data

entry form as seen on

screen

Click to launch the

Case Management

Form

Click to launch the

Barrier Reduction

Services Form

Click to launch the

Work Experience

Form

Click to launch

the TABE

assessment

form

When the form is opened you will be presented with blank boxes (data fields) to enter data into. When

you use the navigation buttons to move between previously entered data, the boxes will be filled in with

the entered data.

Following are the descriptions and instructions for each data field:

1. WonderID – This “unique” value is a combination of the first three letters of the Participant’s

Last Name and the last five digits of their Social Security Number.

2. Date of Birth – Date that the Participant was born in the format mm/dd/yyyy (example:

02/09/2016 for February 9, 2016)

3. First Name – Participant’s first name

4. Last Name – Participant’s last name

The participant is identified in our system by the above values and are an absolute must on every

entry

5. Training Program - The program that the Participant is being enrolled into – select from

the drop-down list.

6. Provider – The provider of the training – automatically filled as “East Side Rising”

7. Location – The county location where the training is provided - select from the drop-

down list.

8. Comments – If there is any additional information about the training or the participant

that you would like to add to this entry, please enter it here

9. Start Date – Provide the date when the Participant began this Program in the format

mm/dd/yyyy.

10. Completion Date – Please provide the date when the Participant completed the training.

11. Withdrawal Date – If the Participant either withdrew from or was eliminated from the

program before completing it, please provide that date here.

12. Withdrawal Reason – If the Participant either withdrew from or was eliminated from the

program before completing it, please select a reason for withdrawal from the

standardized list.

13. Certification Type – The certification the Participant receives on completion – select

from the drop-down list.

14. Certification Date – If the Participant completed the program and they managed to earn

the certification, please provide the date they obtained the certification.

Once the above fields are filled in, click the button labeled “Add” to add them to the spreadsheet.

If you would like to add services provided to another participant click the button labeled “New” and

proceed as above.

You can click the button labeled “Print” to print the information on the current data entry form as you

see it on the screen.

Case Management Form

Following are the descriptions and instructions for each data field in this form:






entry

Navigation buttons to

move between the

data entered

Click to add (save) the current

participant’s information in the

spreadsheet

Click to add a blank

participant’s record to the form

Click to cancel

the data entry

and close the

form

Click to print the

data entry form as

seen on screen

4. Date of Contact – Date that the Participant was contacted for the case management service, in

the format “mm/dd/yyyy” (example: 02/09/2016 for February 9, 2016)



down list.

7. Start Time - Select from the drop-down menu a start time of the contact.

8. End Time - Select from the drop-down menu an end time of the contact.

9. Type of contact – how the participant was contacted to provide this service. Please register even

if an attempt was made to contact the participant. The available standardized options are:

1. Phone Check-in

2. Left Message

3. In Person Check-in

4. WONDER Community Resource Contact

5. Mailed Correspondence

10. Reason for contact – Select a reason for contact from the standardized list. The values and the

definitions are:

1. Intake/Enrollment – enrollment in EPIS or WONDER, completion of intake paperwork

2. Assessment – completion or update of core life functioning assessment

3. Barrier Reduction Request – discussion or processing of barrier reductions

4. Develop/Review Job/Career Plan – creation or review/update of Job/Career Plan

document

5. Attempt to re-engage participant – phone, mail or in-person attempts to locate

participants who have missed appointments/training sessions/days of work, etc.

6. Follow-up/check-in with active participant – phone or in-person contact to check on

status/progress of participants currently involved with any training/education program,

community resources, and/or their employment

7. Employment search support – phone or in-person assistance with job search (can

include contacts with potential employers on behalf of participants

8. Employment retention support – phone or in-person assistance provided to participants

to support them in maintaining employment

9. Intervention to prevent disruption of training - phone or in-person contacts with

participants and/or provider representatives to advocate or mediate to preserve the

participant’s status in the training program

10. Intervention to prevent disruption of employment - phone or in-person contacts with

participants and/or employer representatives to advocate or mediate to preserve the

participant’s employment

11. Skill Building Interaction –one on one coaching or skill building activities (e.g. mock

interviews, resume writing, application process, etc.)

12. Employer Contact – phone or in-person contact with the participant’s employer without

the participant’s presence

13. Provider Contact – phone or in person contact with the participant’s provider without

the participant’s presence

14. Crisis Response – phone on in-person assistance to alleviate a crisis (e.g. participant who

reports suicidal ideation, need to immediately leave a domestic violence situation,

unexpected homelessness, etc.)

11. Comments – If there is any additional information about the service or the participant


Case Manager:



14. Case Management End Date - Enter the date case management services ended, in mm/dd/yyyy

format.

Barrier Reduction Services Form

Following are the descriptions for the data fields you need to provide in this form:



information in the

spreadsheet

Click to clear

the form

Click to cancel the data

entry and close the form




02/09/2016 for February 9, 2016)

The participant is identified in our system by the above two values and are an absolute must on

every entry

3. Provider – This field is filled in automatically, you do not need to edit this

4. Date Received – Provide the date the service was provided, in the format mm/dd/yyyy

5. Barrier Reduction Service – select the type of service provided from the standardized list.

6. Barrier Reduction Services Description – In this area, provide any additional information about

the service provided

7. Comments – Provide any additional comments

8. Barrier Reduction Amount – enter the cost / amount of the services provided in dollars

Work Experience Form




information in the

spreadsheet

Click to add a

new blank

record to the

form






02/09/2016 for February 9, 2016)


entry

3. Training Name - The program that the Participant is being enrolled into – automatically

filled as “Subsidized Employment”.



down list.

6. Industry Code – The industry the subsidized employment belongs to - select from the

drop-down list.

7. Comments – If there is any additional information about the training or the participant


8. Start Date – Provide the date when the Participant began this Program in the format

mm/dd/yyyy.

9. Completion Date – Please provide the date when the Participant completed the training.

10. Withdrawal Date – If the Participant either withdrew from or was eliminated from the

program before completing it, please provide that date here.

11. Withdrawal Reason – If the Participant either withdrew from or was eliminated from the

program before completing it, please select a reason for withdrawal from the

standardized list.

12. Employer Subsidy Amount – Enter the dollar amount provided in employer subsidy for

this participant.

TABE Entry Form



information in the

spreadsheet

Click to add a

new blank

record to the

form







02/09/2016 for February 9, 2016)


entry

3. Assessment Type - automatically filled as “TABE”.

4. Assessment Completion Date – Provide the date when the Participant completed this

assignment, in the format “mm/dd/yyyy”.

5. Assessment Results (Score) – Provide the participant’s score in TABE

Note:

When you open the spreadsheet, if the data entry form does not launch automatically and you see the

following message:

Please click on the button labeled “Enable Content”.

If the data entry form does not launch automatically after clicking the above button, or you accidentally

close it after it launches, you can click on the button labeled “De Wonder Form” to launch it manually.

east side rising

Documents