| E. Outcomes |
| 1. | Controlling law/policy explained | 30 |
| 2. | Application for services completed | 0 |
| 3. | Eligibility determination expedited | 0 |
| 4. | Individual participated in evaluation | 3 |
| 5. | IPE developed/implemented | 5 |
| 6. | Decision reversed or compromise reached | 44 |
| 7. | Communications re-established | 2 |
| 8. | Individual assigned to new | 3 |
| 9. | Alternative resources identified for | 1 |
| 10 | B1+B2) | ADA/504/ECO/OCR complaint made | 0 |
| 11 | Other (Please Explain on separate sheet) | 0 |
| Total | 88 |
| PART 2. PROGRAM DATA |
| files |
| A. Age |
| 1. 21 and | 9 |
| 2. 22-40 | 33 |
| 3. 41-64 | 75 |
| 4. 65 plus | 2 |
| Total | 119 |
| B. Gender |
| F | 46 |
| M | 73 |
| Total | 119 |
| C. Race/Ethnicity |
| 1. | American Indian/Alaskan Native | 2 |
| 2. | Asian or Pacific Islander | 1 |
| 3. | Black, not of hispanic origin | 9 |
| 4. | Hispanic | 1 |
| 5. | White, not of hispanic origin | 106 |
| Total | 119 |
| D. Primary disabling condition of individuals |
| 1. Blindness (both eyes) | 4 |
| 2.Other visual impairment | 3 |
| 3. Deafness | 5 |
| 4. Hard of Hearing | 4 |
| 5. Deaf-Blind | 1 |
| 6. Orthopedic | 47 |
| 7. Absent Extremety | 3 |
| 8. Mental illness | 24 |
| 9. Substance abuse | 4 |
| 10. Retardation | 4 |
| 11. Specific learning disabilities | 7 |
| 12. Neurological | 5 |
| Annual Client Assistance Program (CAP | Page 2 of 4 |
| Form RSA-227 |